NPIMap

Organization Active NPI

Heavens Urgent Care LLC

  • Urgent Care Clinic/Center
  • Apache Junction, AZ
National Provider Identifier
1578065827
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HEAVENS URGENT CARE LLC
Practice address
95 S Idaho Rd Ste 140
Apache Junction, AZ 85119-0006
Phone
(480) 444-1160
Fax
(480) 935-1014
NPI assigned
Mar 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Jason Pernell Heavens, MDNPI 1063781797
Title
Managing Member
Phone
(480) 444-2734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

95 S Idaho Rd Ste 140
Apache Junction, AZ 85119-0006

Mailing address

105 S Delaware Dr Ste 1
Apache Junction, AZ 85120-6512
Phone (480) 444-1160

Other names 1

  • Heavens Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180720003069 AZ Part B Supplier - Clinic/Group Practice 7416204474 Receives reassigned benefits from 13 practitioners
Practice locations: Apache Junction, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2148080Heavens Urgent Care95 S Idaho Rd, Suite 140, Apache Junction, AZ 85119Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Locations

105 S Delaware Dr
Ste 1
Apache Junction, AZ 85120
Phone (480) 399-6440

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1578065827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S DELAWARE DR STE 1",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206512",
            "telephone_number": "480-444-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 S IDAHO RD STE 140",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851190006",
            "telephone_number": "480-444-1160",
            "fax_number": "480-935-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "HEAVENS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PERNELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-444-2734",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heavens Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.