Organization Active NPI

Heaven's Haven Living Facility

  • In Home Supportive Care Agency
  • Mobile, AL
National Provider Identifier
1730704487
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Cielita EzellNPI 1144859976
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)CodeLicenseStatePrimary
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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.