HEAVENLY HAVEN
NPI 1861515009
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Baton Rouge, LA

Q: What is Heavenly Haven's NPI number?

The NPI number for Heavenly Haven is 1861515009. It was assigned to this organization in the NPPES registry on April 10, 2007.

Q: What is Heavenly Haven's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heavenly Haven was last updated on March 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2007

4824 E BROOKSTOWN DR, BATON ROUGE, LA 70805(225) 357-7206(225) 357-6424 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Heavenly Haven NPPES

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

HEAVENLY HAVEN (NPI 1861515009) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Baton Rouge, Louisiana and active in the NPI registry since April 2007. The organization lists Dorothy M Nelson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861515009

Entity TypeOrganization

Primary Taxonomy320600000X

Legal Business NameHEAVENLY HAVEN

Location Address4824 E BROOKSTOWN DRBaton Rouge, LA 70805-3823

Mailing Address4824 E Brookstown DrBaton Rouge, LA 70805-3823 · (225) 357-7206 · Fax (225) 357-6424

Phone(225) 357-7206

Fax(225) 357-6424

Organization SubpartNo

Authorized OfficialDorothy M NelsonCeo · (225) 357-5126

Enumeration DateApril 10, 2007

Last NPPES UpdateMarch 14, 2008

✔ NPI 1861515009 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

License✔ Licensed in LA · 7259

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.

4824 E BROOKSTOWN DR, Baton Rouge, LA 70805

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Other Identifiers 1

Medicaid1428744LA

Other Providers at the Same Location NPPES 13

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

HEAVENLY HAVEN

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