HEAVENIA'S HUMBLE HEART RCF LLC NPI 1922694413

NPI Information

NPI: 1922694413
Provider Name: HEAVENIA'S HUMBLE HEART RCF, LLC

Other Name: HEAVENIA'S HUMBLE HEART RCF, LLC

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
4640 E 93RD ST
GARFIELD HTS, OH
ZIP 44125
Phone: (216) 673-8725
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HEAVENIA'S HUMBLE HEART RCF, LLC is an adult day care clinic center in Garfield Hts, OH. HEAVENIA'S HUMBLE HEART RCF, LLC NPI is 1922694413. The provider is registered as an organization entity type.
The provider Other Name Is Heavenia's Humble Heart Rcf, Llc.

The provider's business location address is:

4640 E 93RD ST
GARFIELD HTS, OH
ZIP 44125-342
Phone: (216) 673-8725

The provider's authorized official is Alelisha T Pipkins .
The authorized official title is Ceo and has the following contact phone number (216) 673-8725.

The enumeration date for this NPI number is 12/18/2020 and was last updated on 5/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251C00000X	Day Training, Developmentally Disabled Services		No
2	251E00000X	Home Health		No
3	251S00000X	Community/Behavioral Health		No
4	253Z00000X	In Home Supportive Care		No
5	261QD1600X	Clinic/Center	Developmental Disabilities	No
6	261QM0850X	Clinic/Center	Adult Mental Health	No
7	310400000X	Assisted Living Facility		No
8	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
9	310500000X	Intermediate Care Facility, Mental Illness		No
10	311ZA0620X	Custodial Care Facility	Adult Care Home	No
11	315P00000X	Intermediate Care Facility, Intellectual Disabilities		No
12	343900000X	Non-emergency Medical Transport (VAN)		No
13	347C00000X	Private Vehicle		No
14	385H00000X	Respite Care		No
15	261QA0600X	Clinic/Center	Adult Day Care	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1720672298	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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