Blue Heavens LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

BLUE HEAVENS LLC

Practice address

936 N Denwood St
Dearborn, MI 48128-1568

Phone

(313) 463-0012

NPI assigned

Jul 20, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Noor Assi, MS, BCBA, LBA

Title

Owner

Phone

(313) 463-0012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1245150200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 N DENWOOD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281568",
            "telephone_number": "313-463-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 N DENWOOD ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481281568",
            "telephone_number": "313-463-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HEAVENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "ASSI",
        "authorized_official_first_name": "NOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-463-0012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.