Heavenly Place LLC

Primary specialty

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

License

MHL-092-866 Issued in NC

Legal business name

HEAVENLY PLACE LLC

Practice address

8600 Neuse Hunter Dr
Raleigh, NC 27616-7735

Phone

(919) 819-3882

NPI assigned

Jul 21, 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

Administrator

Phone

(919) 819-3882

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 II

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Raleigh, NC
  • NPI 1356683445
  NPD tax ID

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

{
    "created_epoch": "1374364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374364800000",
    "number": "1356783229",
    "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": "8600 NEUSE HUNTER DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167735",
            "telephone_number": "919-819-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-21",
        "last_updated": "2013-07-21",
        "status": "A",
        "authorized_official_last_name": "OKWOSHAH",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-819-3882"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-092-866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Christain Heaton, MD
• Mary Heaton, CP
• Heaven Hands Home Care Agency
• Heaven Sent
• Heavenly Angels Healthcare Inc
• Heavenly Place LLC II
• Heavenly Sent Home Care Services LLC
• Hebron Home Care LLC
• Susan Marie Heckman, CRNA
• Danae Heckstall

• 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 Jul 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.