1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Residential Treatment Facility Intellectual And Or Developmental Disabilities
  6. NPI Profile

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

Active since May 24, 2021
3129 W ACAPULCO LN, PHOENIX, AZ 85053(601) 316-1347 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 28, 2023, Feb 8, 2023, May 24, 2021 (3 updates tracked since 2021).

About Heavenly Care Llc NPPES

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

HEAVENLY CARE LLC (NPI 1750956744) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Phoenix, Arizona and active in the NPI registry since May 2021. The organization lists Kanobayita Doris, Ceo, as its authorized official.

NPPES Registry Identity

NPI1750956744
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameHEAVENLY CARE LLC
Location Address3129 W ACAPULCO LNPhoenix, AZ 85053-4885
Mailing Address3129 W Acapulco LnPhoenix, AZ 85053-4885 · (601) 316-1347
Phone(601) 316-1347
Organization SubpartNo
Authorized OfficialKanobayita DorisCeo · (601) 316-1347
Enumeration DateMay 24, 2021
Last NPPES UpdateFebruary 28, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2023
✔ NPI 1750956744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
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.
3129 W ACAPULCO LN, Phoenix, AZ 85053
Open in Google Maps ↗

Other Identifiers 1

Medicaid092973AZ

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.

KAIRO HEALTH LLC
Hospice Care, Community Based
3129 W ACAPULCO LN
PHOENIX, AZ 85053
Maricopa County (623) 216-4283
HEAVENLY CARE LLC
Behavior Technician
3129 W ACAPULCO LN
PHOENIX, AZ 85053
Maricopa County (601) 316-1347

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 Care LLC's NPI number?

The NPI number for Heavenly Care LLC is 1750956744. It was assigned to this organization in the NPPES registry on May 24, 2021.

Where is Heavenly Care LLC located?

Heavenly Care LLC is located at 3129 W Acapulco Ln, Phoenix, AZ 85053. The listed phone number is (601) 316-1347.

What is Heavenly Care LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Heavenly Care LLC was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.