GREGORY HEAVEN LPN
NPI 1396017463
Licensed Practical Nurse in Leetonia, OH

Q: What is Gregory Heaven's NPI number?

The NPI number for Gregory Heaven is 1396017463. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Q: What is Gregory Heaven's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Heaven was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 03, 2012

100 WILSON ST, LEETONIA, OH 44431(330) 717-5502 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Gregory Heaven Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREGORY HEAVEN LPN (NPI 1396017463) is an individual licensed practical nurse in Leetonia, Ohio, licensed in Ohio (PN138531MIV) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1396017463

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameGREGORY HEAVENCredential: LPN

Location Address100 WILSON STLeetonia, OH 44431-9601

Mailing Address100 Wilson StLeetonia, OH 44431-9601 · (330) 717-5502

Phone(330) 717-5502

Sole ProprietorYes

Enumeration DateFebruary 3, 2012

✔ NPI 1396017463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in OH · PN138531MIV

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

100 WILSON ST, Leetonia, OH 44431

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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 Gregory Heaven's NPI number?

The NPI number for Gregory Heaven is 1396017463. It was assigned to this individual provider in the NPPES registry on February 3, 2012.

Where is Gregory Heaven located?

Gregory Heaven practices at 100 Wilson St, Leetonia, OH 44431. The listed phone number is (330) 717-5502.

What is Gregory Heaven's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Gregory Heaven was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.