NPIMap

Organization Active NPI

Heavenly Haven

  • Home Health Agency
  • Baton Rouge, LA
National Provider Identifier
1487825741
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENLY HAVEN
Practice address
4824 E Brookstown Dr
Baton Rouge, LA 70805-3823
Phone
(225) 357-7206
NPI assigned
Mar 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Authorized official

Name
Mrs. Dorothy I Nelson
Title
Ceo
Phone
(225) 357-7206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X LA Primary

Addresses

Primary practice location

4824 E Brookstown Dr
Baton Rouge, LA 70805-3823

Mailing address

4824 E Brookstown Dr
Baton Rouge, LA 70805-3823
Phone (225) 357-7206

Other identifiers 1

IdentifierTypeStateIssuer
14329762MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Haven16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1487825741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 E BROOKSTOWN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053823",
            "telephone_number": "225-357-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 E BROOKSTOWN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053823",
            "telephone_number": "225-357-7206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-357-7206",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14329762",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.