NPIMap

Organization Active NPI

Heavenly Care LLC

  • Behavior Technician
  • Phoenix, AZ
National Provider Identifier
1497320386
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Legal business name
HEAVENLY CARE LLC
Practice address
3129 W Acapulco LN
Phoenix, AZ 85053-4885
Phone
(601) 316-1347
NPI assigned
May 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Authorized official

Name
Kanobayita Doris
Title
Director
Phone
(601) 316-1347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

3129 W Acapulco LN
Phoenix, AZ 85053-4885

Mailing address

3129 W Acapulco LN
Phoenix, AZ 85053-4885
Phone (601) 316-1347

Other names 1

  • Heavenly Care LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heavenly Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1497320386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 W ACAPULCO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534885",
            "telephone_number": "601-316-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 W ACAPULCO LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534885",
            "telephone_number": "601-316-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "DORIS",
        "authorized_official_first_name": "KANOBAYITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-316-1347"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavenly Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.