Heavenly Adult Day Care Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HEAVENLY ADULT DAY CARE INC

Practice address

20 SE 4TH Rd
Homestead, FL 33030-7301

Phone

(786) 601-7302

Fax

(786) 504-3349

NPI assigned

Sep 1, 2022

Organization subpart

No

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

Authorized official

Name

Ariel Mora

Title

Ceo

Phone

(786) 287-2359

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1235859919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SE 4TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307301",
            "telephone_number": "786-601-7302",
            "fax_number": "786-504-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SE 4TH RD",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330307301",
            "telephone_number": "786-601-7302",
            "fax_number": "786-504-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ADULT DAY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-287-2359"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA LICENSE",
            "identifier": "9544",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115054000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health Paradise Alf LLC
• Health Services and More LLC
• Healthy Life Gourmet LLC
• Hear 4 Kidz Inc
• Heaven Assisted Living Facility
• Aidalis Hechavarria
• Yesenia Hector Carriles
• Helen Homes Corp of Homestead, Inc
• Helen Homes of South Dade, LLC
• Sudian Kerrian Hendrickson

• Adult Day Care Clinic/Center in Homestead, FL
• Providers in Homestead, FL by specialty
• Adult Day Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.