HEAVENLY ASSISTED LIVING, INC.
NPI 1407467806
Assisted Living Facility in Port Orange, FL

Q: What is Heavenly Assisted Living, Inc.'s NPI number?

The NPI number for Heavenly Assisted Living, Inc. is 1407467806. It was assigned to this organization in the NPPES registry on August 11, 2020.

Q: What is Heavenly Assisted Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since August 11, 2020

401 ORANGE AVE, PORT ORANGE, FL 32127(386) 761-6268 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2020, Aug 11, 2020 (2 updates tracked since 2020).

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About Heavenly Assisted Living, Inc. NPPES

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

HEAVENLY ASSISTED LIVING, INC. (NPI 1407467806) is a healthcare organization registered as an assisted living facility in Port Orange, Florida and active in the NPI registry since August 2020. The organization lists Yohannes Fissiha, Owner, as its authorized official.

NPPES Registry Identity

NPI1407467806

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHEAVENLY ASSISTED LIVING, INC.

Location Address401 ORANGE AVEPort Orange, FL 32127-4444

Mailing Address401 Orange AvePort Orange, FL 32127-4444 · (386) 767-6268

Phone(386) 761-6268

Organization SubpartNo

Authorized OfficialYohannes FissihaOwner · (386) 767-6268

Enumeration DateAugust 11, 2020

Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration

NPPES CertifiedAugust 24, 2020

✔ NPI 1407467806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

401 ORANGE AVE, Port Orange, FL 32127

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

YOHANNES FISSIHA

Assisted Living Facility

401 ORANGE AVE
PORT ORANGE, FL 32127

Volusia County (386) 767-6268

SARG PORT ORANGE ALF LLC

Assisted Living Facility

401 ORANGE AVE
PORT ORANGE, FL 32127

Volusia County (407) 797-4996

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 Assisted Living, Inc.'s NPI number?

The NPI number for Heavenly Assisted Living, Inc. is 1407467806. It was assigned to this organization in the NPPES registry on August 11, 2020.

Where is Heavenly Assisted Living, Inc. located?

Heavenly Assisted Living, Inc. is located at 401 Orange Ave, Port Orange, FL 32127. The listed phone number is (386) 761-6268.

What is Heavenly Assisted Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Heavenly Assisted Living, Inc. was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.