Heavenly Behavioral Homes LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEAVENLY BEHAVIORAL HOMES LLC

Doing business as

Heavenly Behavioral Home LLC

Practice address

4209 W Irwin Ave
Phoenix, AZ 85041-6089

Phone

(623) 235-7871

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Maria Celia Dela Cruz

Title

Owner

Phone

(623) 235-7871

Specialties & licenses 2

Addresses

Other names 1

• HEAVENLY BEHAVIORAL HOME LLC Doing business as

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1255960043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 W IRWIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416089",
            "telephone_number": "623-235-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 W IRWIN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416089",
            "telephone_number": "623-235-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY BEHAVIORAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-235-7871"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEAVENLY BEHAVIORAL HOME LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shay E Heath
• Astrid Margot Heathcote, PSY.D
• David A. Heaton, M.D.
• Heaven N Soul Hospice Inc
• Heavenly Angels Care Home LLC
• Heavenly Care LLC
• Heavenly Care LLC
• Heavenly Hospice LLC
• Michelle Elizabeth Hebard
• Matthew Olding Hebb, M.D., PH.D.

• Adult Mental Health Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.