DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HEAVENLY HAVEN, INC.

MEDICARE: HEAVENLY HAVEN, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care7254LA
2320600000XIntellectual and/or Developmental Disabilities Residential Treatment Facility7258LA

General Provider Information

NPI Number : 1396702866
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEAVENLY HAVEN, INC.
Provider Business Mailing Address
First Line : 4824 E BROOKSTOWN DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-3823
Country : US
Telephone Number : 225-357-7206
Fax Number : 255-357-6424
Provider Business Practice Location Address
First Line : 4824 E BROOKSTOWN DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70805-3823
Country : US
Telephone Number : 225-357-7206
Fax Number : 255-357-6424
Authorized Official
Title or Position : CEO
Name : MRS. DOROTHY NELSON
Credential :
Telephone Number : 225-355-2498
Provider Enumeration Date : 04/28/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1740318799 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax:
1457474470 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax: 225-357-6424
1952424194 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax: 225-357-6424
1861515009 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax: 225-357-6424
1942323183 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax: 225-357-6424
1659577922 — HEAVENLY HAVEN
Practice Location Address:
4824 E BROOKSTOWN DR
BATON ROUGE, LA
70805-3823
Practice Phone: 225-357-7206
Practice Fax: 225-357-6424

Directions to “HEAVENLY HAVEN, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.