HEAVENLY PLACE LLC II
NPI 1356683445
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Raleigh, NC
About Heavenly Place Llc Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEAVENLY PLACE LLC II (NPI 1356683445) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Raleigh, North Carolina and active in the NPI registry since March 2013. The organization holds 2 active CLIA laboratory certificates and lists Juliet Okwoshah, Administration, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2207889
Heavenly Place LLC · Raleigh, NCCertificate of Waiver 34D2206321
Heavenly Place LLC · Raleigh, NCOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heavenly Place LLC II's NPI number?
The NPI number for Heavenly Place LLC II is 1356683445. It was assigned to this organization in the NPPES registry on March 27, 2013.
Where is Heavenly Place LLC II located?
Heavenly Place LLC II is located at 2105 Gresham Lake Rd, Raleigh, NC 27615. The listed phone number is (919) 819-3882.
What is Heavenly Place LLC II's specialty?
The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
Does Heavenly Place LLC II hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Heavenly Place LLC II was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heavenly Place Llc Ii · NPI 1356683445
Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Raleigh, North Carolina. Organization record, active in the CMS NPPES registry since March 27, 2013.
## Identity
- **NPI:** 1356683445 (Entity type: Organization)
- **Enumerated:** March 27, 2013
- **Primary specialty:** Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320600000X
- **Organization subpart:** No
- **Authorized official:** Juliet Okwoshah, ADMINISTRATION
## Practice location
- **Address:** 2105 GRESHAM LAKE RD, Raleigh, NC 27615-4204
- **Phone:** (919) 819-3882
## Record status
- **NPPES last updated:** March 27, 2013
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356683445) · Data from the CMS NPPES public registry.