Active NPI
Heaven's Haven Living Facility
- In Home Supportive Care Agency
- Mobile, AL
National Provider Identifier
1730704487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HEAVEN'S HAVEN LIVING FACILITY
- Practice address
- 1630 Prairie Ave
Mobile, AL 36605-2030 - Phone
- (251) 507-5705
- NPI assigned
- Jun 9, 2020
- Last updated
- Aug 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cielita Ezell
- Title
- Provider
- Phone
- (251) 507-5705
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
1630 Prairie Ave
Mobile, AL 36605-2030
Mailing address
1111 I65 E Service Rd
Ste 104 1088
Mobile, AL 36606
Phone (251) 507-5705
Other names 1
- Heaven's Haven Living Facility LLC
National Provider Directory
National Provider DirectoryLocations
6300 Grelot Rd
#1235
Mobile, AL 36609
Phone (251) 509-8641
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse's Aide
- Mobile, AL
- NPI 1144859976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1730704487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 I65 E SERVICE RD",
"address_2": "STE 104 1088",
"city": "MOBILE",
"state": "AL",
"postal_code": "36606",
"telephone_number": "251-507-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 PRAIRIE AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "366052030",
"telephone_number": "251-507-5705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVEN'S HAVEN LIVING FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A",
"authorized_official_last_name": "EZELL",
"authorized_official_first_name": "CIELITA",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "251-507-5705"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heaven's Haven Living Facility LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Heaven's Haven Living Facility LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.