Organization Active NPI

Heaven Community Mental Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami, FL
National Provider Identifier
1275147936
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HEAVEN COMMUNITY MENTAL HEALTH, LLC
Practice address
9254 SW 40TH St
Miami, FL 33165-4151
Phone
(305) 640-5200
Fax
(305) 489-8348
NPI assigned
Sep 1, 2020
Last updated
Feb 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Rene Rodriguez
Title
President
Phone
(305) 640-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

9254 SW 40TH St
Miami, FL 33165-4151

Mailing address

9254 SW 40TH St
Miami, FL 33165-4151
Phone (305) 640-5200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1275147936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9254 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654151",
            "telephone_number": "305-640-5200",
            "fax_number": "305-489-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9254 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331654151",
            "telephone_number": "305-640-5200",
            "fax_number": "305-489-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN COMMUNITY MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-640-5200"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.