Heavenly Haven in Baton Rouge - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Heavenly Haven - NPI 1952424194
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 1952424194. 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 Nelson |
| Telephone Number | 2253575126 |
NPI Number Detail
| NPI Number | 1952424194 |
|---|---|
| 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 | 7258 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1428761 | LA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Heavenly Haven by the Centers for Medicare & Medicaid Services?
The Heavenly Haven has been issued the NPI (National Provider Identifier) 1952424194. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Heavenly Haven's facilities are situated?
The facilities of Heavenly Haven are physically located at the following address: 4824 E Brookstown Dr, Baton Rouge, LA, 708053823.
What is the Heavenly Haven's specialty and taxonomy code?
The Heavenly Haven's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952424194 to Heavenly Haven?
The Centers for Medicare & Medicaid Services originally issued the 1952424194 to Heavenly Haven on 2007-04-10.
When was the information regarding Heavenly Haven, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Heavenly Haven, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-03-14.
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