Heaven Assisted Living Facility

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL11193 Issued in FL

Legal business name

HEAVEN ASSISTED LIVING FACILITY

Practice address

30136 SW 148TH PL
Homestead, FL 33033-3835

Phone

(305) 245-2290

NPI assigned

Feb 7, 2008

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juana Maria Pacheco

Title

Administrator

Phone

(786) 263-1274

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1417135765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30136 SW 148TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333835",
            "telephone_number": "305-245-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30136 SW 148TH PL",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333835",
            "telephone_number": "305-245-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN ASSISTED LIVING FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "JUANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-263-1274"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL11193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Explorers Inc
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• Health Services and More LLC
• Healthy Life Gourmet LLC
• Hear 4 Kidz Inc
• Heavenly Adult Day Care Inc
• Aidalis Hechavarria
• Yesenia Hector Carriles
• Helen Homes Corp of Homestead, Inc (The Palace Gardens)
• Helen Homes of South Dade, LLC (Homestead Manor, a Palace Community)

• Assisted Living Facility in Homestead, FL
• Providers in Homestead, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.