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HEAVEN'S HAVEN LIVING FACILITY NPI 1730704487


NPI Information

NPI: 1730704487
Provider Name: HEAVEN'S HAVEN LIVING FACILITY

Former Legal Business Name: HEAVEN'S HAVEN LIVING FACILITY LLC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 01D2244667

Address:
6300 GRELOT RD # STG1235
MOBILE, AL
ZIP 36609
Phone: (251) 509-8641
Get Directions

HEAVEN'S HAVEN LIVING FACILITY is an in home supportive care in Mobile, AL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. HEAVEN'S HAVEN LIVING FACILITY NPI is 1730704487. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Heaven's Haven Living Facility Llc.

The provider's business location address is:

6300 GRELOT RD # STG1235
MOBILE, AL
ZIP 36609-602
Phone: (251) 509-8641

The provider's authorized official is Cielita Ezell .
The authorized official title is Provider and has the following contact phone number (251) 509-8641.

The CLIA number assigned to this NPI record is 01D2244667 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 11/1/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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