Organization
HEAVENIA'S HUMBLE HEART RCF, LLC
Active
Other names
Heavenia's Humble Heart RCF, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALELISHA T PIPKINS (CEO)
(216) 673-8725
Entity
Organization
Contact information
Practice address
4640 E 93RD ST, GARFIELD HTS, OH 44125-1342
(216) 673-8725
Mailing address
4640 E 93RD ST, GARFIELD HTS, OH 44125-1342
(216) 673-8725
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720672298
—
OH
Enumeration date
12/18/2020
Last updated
05/31/2023
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