HEAVENLY CARE LLC
NPI 1750956744
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Phoenix, AZ

NPI Status: Active since May 24, 2021

Contact Information

3129 W ACAPULCO LN
PHOENIX, AZ
ZIP 85053
Phone: (601) 316-1347

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  • Organization
  • Residential Treatment Facility, Intellec...

About HEAVENLY CARE LLC

This page provides the complete NPI Profile along with additional information for Heavenly Care Llc, a provider established in Phoenix, Arizona operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1750956744 assigned on May 2021. The practitioner's primary taxonomy code is 320600000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Kanobayita Doris (Ceo)

NPI
1750956744
Provider Name
HEAVENLY CARE LLC
Entity Type
Organization
Location Address
3129 W ACAPULCO LN PHOENIX, AZ 85053
Location Phone
(601) 316-1347
Mailing Address
3129 W ACAPULCO LN PHOENIX, AZ 85053
Mailing Phone
(601) 316-1347
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2021
Last Update Date
02-28-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KANOBAYITA DORIS

Authorized Official Title
CEO
Authorized Official Phone
(601) 316-1347

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
092973MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750956744
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001851278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 8 + 5 + 1 + 2 + 7 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1750956744 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

HEAVENLY CARE LLC

Behavior Technician

3129 W ACAPULCO LN
PHOENIX, AZ
ZIP 85053

(601) 316-1347

KAIRO HEALTH LLC

Hospice Care, Community Based

3129 W ACAPULCO LN
PHOENIX, AZ
ZIP 85053

(623) 216-4283

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750956744, enumerated as an "organization" on May 24, 2021.

The provider is located at 3129 W ACAPULCO LN PHOENIX, AZ 85053 and the phone number is (601) 316-1347.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.