Organization Active NPI

Heavens Way Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fairfax, VA
National Provider Identifier
1558921817
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HEAVENS WAY SERVICES INC
Practice address
9710 Five Oaks Rd
Fairfax, VA 22031-1109
Phone
(301) 793-9840
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
Martine Tchuembue
Title
Director
Phone
(301) 793-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

9710 Five Oaks Rd
Fairfax, VA 22031-1109

Mailing address

9710 Five Oaks Rd
Fairfax, VA 22031-1109

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1558921817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 FIVE OAKS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 FIVE OAKS RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220311109",
            "telephone_number": "301-793-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS WAY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "TCHUEMBUE",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-793-9840"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.