Heavenly Place LLC II

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HEAVENLY PLACE LLC II

Practice address

2105 Gresham Lake Rd
Raleigh, NC 27615-4204

Phone

(919) 819-3882

NPI assigned

Mar 27, 2013

Organization subpart

No

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

Authorized official

Name

Juliet Okwoshah

Title

Administration

Phone

(919) 819-3882

Specialties & licenses 1

Addresses

Tax ID family

Heavenly Place LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heavenly Place LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
  • NPI 1356783229
  NPD tax ID

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1356683445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41153",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276291153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 GRESHAM LAKE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276154204",
            "telephone_number": "919-819-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PLACE LLC II",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "OKWOSHAH",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "919-819-3882"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Heaton, CP
• Heaven Hands Home Care Agency
• Heaven Sent
• Heavenly Angels Healthcare Inc
• Heavenly Place LLC
• Heavenly Sent Home Care Services LLC
• Hebron Home Care LLC
• Susan Marie Heckman, CRNA
• Danae Heckstall
• Kevin Hedeen, LCSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.