Heaven Can Wait Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEAVEN CAN WAIT ASSISTED LIVING, LLC

Practice address

4205 W Sioux St
Laveen, AZ 85339-8227

Phone

(602) 796-9662

Fax

(602) 599-2124

NPI assigned

Dec 12, 2022

Organization subpart

No

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

Authorized official

Name

John Gruenwald

Title

Owner

Phone

(602) 796-9662

Specialties & licenses 1

Addresses

Other names 1

• Heaven Can Wait Assisted Living Other name

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1275244139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 W SIOUX ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398227",
            "telephone_number": "602-796-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 W SIOUX ST",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853398227",
            "telephone_number": "602-796-9662",
            "fax_number": "602-599-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN CAN WAIT ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A",
        "authorized_official_last_name": "GRUENWALD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-796-9662"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heaven Can Wait Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.