Heaven Bound Lifestyle Center

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

HEAVEN BOUND LIFESTYLE CENTER

Practice address

7551 Young Cir
Reno, NV 89511-1337

Phone

(775) 219-5679

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Michael Goodwin

Title

Ceo

Phone

(775) 219-5679

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1962858878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3527",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894323527",
            "telephone_number": "775-219-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 YOUNG CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111337",
            "telephone_number": "775-219-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN BOUND LIFESTYLE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "775-219-5679",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005048283",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen Hearn, LCSW
• James Hubbard Hearn, LCSW
• Isaac Hearne, MD PC
• Maria Lynn Hearod
• Margaret R Heaton-Ashby, M.A.
• Erica Heavrin
• Crista Hebel
• Melisa S Heckathorn, LMSW
• Orlanda Heckathorn
• Samantha Marie Heddinger, LCSW

• Respite Care in Reno, NV
• Providers in Reno, NV by specialty
• Respite Care in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.