HEAVENLY ASSISTED CARE, LLC – NPI #1518297175
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
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.
HEAVENLY ASSISTED CARE, LLC is a residential treatment facility located in JONESBORO, GA. NPPES has assigned the NPI number 1518297175 to HEAVENLY ASSISTED CARE, LLC on January 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
The NPI profile was previously updated about 16 years ago on Jan 07, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEAVENLY ASSISTED CARE, LLC below.
NPI Profile for
HEAVENLY ASSISTED CARE, LLC
(more than 16 years ago)
JONESBORO, GA 30238 Phone: (404) 713-4982 Fax: (678) 413-2491
CONYERS, GA 30012-8836 Phone: (404) 713-4982 Fax: (678) 413-2491
PRESIDENT
Phone: (678) 625-7505
Identifiers for HEAVENLY ASSISTED CARE, LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | GA | 481264351A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
GA | DN012304 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.