Organization Active NPI

Heartfelt Haven Services LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Dallas, NC
National Provider Identifier
1497521215
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HEARTFELT HAVEN SERVICES LLC
Practice address
2713 Cider Ridge Rd
Dallas, NC 28034-9589
Phone
(980) 345-9350
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Sarah Dorliae
Title
Executive Director
Phone
(980) 345-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X NU Primary

Addresses

Primary practice location

2713 Cider Ridge Rd
Dallas, NC 28034-9589

Mailing address

2713 Cider Ridge Rd
Dallas, NC 28034-9589
Phone (980) 345-9350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1497521215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 CIDER RIDGE RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349589",
            "telephone_number": "980-345-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 CIDER RIDGE RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280349589",
            "telephone_number": "980-345-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTFELT HAVEN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "DORLIAE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-345-9350"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.