Active NPI
Heaven Care Residential LLC
- Assisted Living Facility
- Tempe, AZ
National Provider Identifier
1831886340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HEAVEN CARE RESIDENTIAL LLC
- Practice address
- 1707 E Citation LN
Tempe, AZ 85284-1606 - Phone
- (480) 999-0293
- Fax
- (833) 286-8210
- NPI assigned
- Apr 24, 2023
- Organization subpart
- Yes
- Parent organization
- HEAVEN CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wesley Young Jr.
- Title
- Owner
- Phone
- (480) 999-0293
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
1707 E Citation LN
Tempe, AZ 85284-1606
Mailing address
1707 E Citation LN
Tempe, AZ 85284-1606
Phone (480) 999-0293
Other names 1
- Heaven Care Residential LLC
National Provider Directory
National Provider Directory- Part of
- Heaven Care LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Child Intellectual and/or Developmental Disabilities Respite Care
- Mesa, AZ
- NPI 1194297838
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789171200000",
"number": "1831886340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 E CITATION LN",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841606",
"telephone_number": "480-999-0293",
"fax_number": "833-286-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 E CITATION LN",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852841606",
"telephone_number": "480-999-0293",
"fax_number": "833-286-8210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVEN CARE RESIDENTIAL LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEAVEN CARE LLC",
"enumeration_date": "2023-04-24",
"last_updated": "2026-09-12",
"certification_date": "2026-09-12",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "WESLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-999-0293",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Heaven Care Residential LLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.