NPIMap

Organization Active NPI

Heavenly Spirits

  • Developmentally Disabled Services Day Training Agency
  • Henderson, NV
National Provider Identifier
1457617276
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
65267405 Issued in CA
Legal business name
HEAVENLY SPIRITS
Doing business as
H.S. Inc. Life Skills
Practice address
1007 Paradise View St
Henderson, NV 89052-3937
Phone
(310) 503-5362
NPI assigned
Apr 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Monica Rae Williams
Title
Director
Phone
(323) 292-4193

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 65267405 CA Primary
Developmentally Disabled Services Day Training Agency 251C00000X

Addresses

Primary practice location

1007 Paradise View St
Henderson, NV 89052-3937

Mailing address

4626 Arlington Ave
Los Angeles, CA 90043-1451
Phone (323) 292-4193

Other names 1

  • H.S. Inc. Life Skills Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1457617276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 ARLINGTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431451",
            "telephone_number": "323-292-4193",
            "fax_number": "323-292-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 PARADISE VIEW ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523937",
            "telephone_number": "310-503-5362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY SPIRITS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-292-4193"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "CA",
            "license": "65267405",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H.S. Inc. Life Skills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.