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HEAVENLY HAVEN
NPI 1871044925
Custodial Care Facility - Adult Care Home in Houston, TX

Active since October 24, 2016
4748 CLOVER ST, UNIT A, HOUSTON, TX 77033(832) 433-8433 Get Directions Write a Review

NPPES record last updated: February 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2019, Oct 24, 2016 (2 updates tracked since 2016).

About Heavenly Haven NPPES

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

HEAVENLY HAVEN (NPI 1871044925) is a healthcare organization registered as an adult care home in Houston, Texas and active in the NPI registry since October 2016. The organization lists Andrea Dyer, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1871044925
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHEAVENLY HAVEN
Location Address4748 CLOVER ST, UNIT AHouston, TX 77033-4047
Mailing Address4748 Clover St, Unit AHouston, TX 77033-4047
Phone(832) 433-8433
Organization SubpartNo
Authorized OfficialAndrea DyerCeo/owner · (832) 433-8433
Enumeration DateOctober 24, 2016
Last NPPES UpdateFebruary 22, 20192 updates tracked since enumeration
✔ NPI 1871044925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
4748 CLOVER ST, Houston, TX 77033
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Other Identifiers 1

Medicaid1649628033TX

Other Providers at the Same Location NPPES

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

HEAVENLY HAVEN
Clinic/Center (Adult Mental Health)
4748 CLOVER ST, UNIT A
HOUSTON, TX 77033
Harris County (832) 433-8433

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 Haven's NPI number?

The NPI number for Heavenly Haven is 1871044925. It was assigned to this organization in the NPPES registry on October 24, 2016.

Where is Heavenly Haven located?

Heavenly Haven is located at 4748 Clover St Unit A, Houston, TX 77033. The listed phone number is (832) 433-8433.

What is Heavenly Haven's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Heavenly Haven was last updated on February 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.