Heavenly Haven in Baton Rouge - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Heavenly Haven - NPI 1093913485

Heavenly Haven is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Baton Rouge, Louisiana. Heavenly Haven practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Heavenly Haven is 1093913485. The last update date is 2008-03-14.

Heavenly Haven's current location address is 4824 E Brookstown Dr, Baton Rouge, Louisiana. You can contact this provider via phone number 2253577206 and fax number 2253576424. The mailing address for Heavenly Haven is 4824 E Brookstown Dr, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heavenly Haven
Address 4824 E Brookstown Dr, Baton Rouge, Louisiana
Phone Number 2253577206
Fax Number 2253576424
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Nelson I Dorothy
Telephone Number 2253577206

NPI Number Detail

NPI Number 1093913485
Provider Enumeration Date 2007-07-06
Last Updated Date 2008-03-14

Provider Mailing Address Detail

Address 4824 E Brookstown Dr
City Baton Rouge
State Louisiana (LA)
Post Code 708053823
Phone Number 2253577206
Fax Number 2253576424

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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FAQs about Heavenly Haven

What is the unique 10-digit identification code assigned to Heavenly Haven by the Centers for Medicare & Medicaid Services?

The Heavenly Haven has been issued the NPI (National Provider Identifier) 1093913485, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Heavenly Haven's facilities are geographically located?

The facilities of Heavenly Haven are physically situated at the following location: 4824 E Brookstown Dr, Baton Rouge, LA, 708053823.

What is Heavenly Haven's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Heavenly Haven is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.

On what date did the Heavenly Haven receive its 1093913485 assignment from the Centers for Medicare & Medicaid Services?

The Heavenly Haven was assigned its 1093913485 by the Centers for Medicare & Medicaid Services on 2007-07-06.

As of what date was the information regarding Heavenly Haven, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Heavenly Haven, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-03-14.

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