Heaven Care LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

HEAVEN CARE LLC

Doing business as

Heaven Care LLC

Practice address

2828 S Standage
Mesa, AZ 85202-8139

Phone

(480) 580-4062

Fax

(480) 839-4273

NPI assigned

Dec 19, 2018

Last updated

Jan 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wesley YoungNPI 1972215374

Title

Owner

Phone

(480) 580-4062

Specialties & licenses 3

Addresses

Other names 1

• Heaven Care LLC Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Heaven Care Residential LLC

  • Assisted Living Facility
  • Tempe, AZ
  • NPI 1831886340
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wesley Young Jr.

  • Personal Care Attendant
  • Tempe, AZ
  • NPI 1972215374

  Attendant Care Provider

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1194297838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 S MILL AVE STE 176",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823675",
            "telephone_number": "480-580-4062",
            "fax_number": "480-839-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S STANDAGE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852028139",
            "telephone_number": "480-580-4062",
            "fax_number": "480-839-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-19",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-580-4062"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heaven Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.