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

Heavenly Haven - NPI 1861515009

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 1861515009. 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 M Dorothy
Telephone Number 2253575126

NPI Number Detail

NPI Number 1861515009
Provider Enumeration Date 2007-04-10
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
Licence No 7259
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1428744 LA --

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FAQs about Heavenly Haven

What is the Heavenly Haven's unique identification number?

The Heavenly Haven has been assigned the NPI (National Provider Identifier) Number 1861515009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

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 the Heavenly Haven's area of specialization and corresponding taxonomy classification?

The Heavenly Haven's specialty field is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320600000X, which categorizes healthcare providers based on their specialties.

When was the Heavenly Haven's 1861515009 issued?

The Heavenly Haven's 1861515009 was issued on 2007-04-10.

When was the information related to Heavenly Haven most recently updated or refreshed?

The details pertaining to the Heavenly Haven, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-03-14.

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