Heavenly Manor Assisted Living LLC
Heavenly Manor Assisted Living · Assisted Living Facility

Address: 12802 Leitrim Way, Houston, TX 77047-3726
Phone: 2818466622

Heavenly Manor Assisted Living LLC (NPI# 1811518863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1811518863
Entity Type Organization
Organization Name HEAVENLY MANOR ASSISTED LIVING LLC
Other Organization Name HEAVENLY MANOR ASSISTED LIVING
Practice Address 12802 Leitrim Way
Houston
TX 77047-3726
Practice Telephone 2818466622
Practice Fax Number 7132640802
Mailing Address 12802 Leitrim Way
Houston
TX 77047-3726
Mailing Telephone 2818466622
Mailing Fax Number 7132640802
Authorized Official Name Mia Singleton (ADMINISTRATOR/OWNER)
Authorized Official Telephone 7133598273
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-04-30
Last Update Date 2020-05-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 310400000X Assisted Living Facility Nursing & Custodial Care Facilities

Other Provider Identifier

State Identifier Issuer Type Code
TX 12802 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Heavenly Manor Assisted Living Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

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1942867858 Blossom Assisted Living Assisted Living Facility 18030 Rolling Creek Dr, Houston, TX 77090-1126 2019-05-27
1306401195 Judah Resources Assisted Living Facility 11152 Westheimer Rd # 1094, Houston, TX 77042-3208 2019-05-07
1386207298 Erica Dena Johnson Assisted Living Facility 11810 Hammond Dr Apt 606, Houston, TX 77065-3866 2019-04-16
1487115721 Grace Extended Residential Assisted Living Assisted Living Facility 9018 Covent Garden St, Houston, TX 77031-3016 2019-03-28
1801355268 Sterling Mcdouglas LLC Assisted Living Facility 15318 Wildwood Glen Dr, Houston, TX 77083-5515 2019-03-15
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Office Location

Street Address 12802 LEITRIM WAY
City HOUSTON
State TX
Zip Code 77047-3726

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528693827 Gloss Dental Dentist 1416 W Orem Dr, Houston, TX 77047 2020-03-06
1093347486 Kayla A Johnson Nurse Practitioner 1540 Summer City Dr, Houston, TX 77047 2020-02-04
1548802432 Patsy Ward Technician 12707 Claygate Dr., Houston, TX 77047 2019-10-11
1245895242 Chinedu Nwabuona Pharmacist 12627 City Village Lane, Houston, TX 77047 2019-05-06
1417422866 Adetola Adeosun Occupational Therapist 11931 Harristown Dr, Houston, TX 77047 2018-10-11
1730694787 City Park Care Center, LLC Skilled Nursing Facility 12262 Cityscape Avenue, Houston, TX 77047 2017-12-12
1033591151 Latina Baxter Doula 2814 Trinity Glen Ln., Houston, TX 77047 2015-06-25
1114336807 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 10200 Cullen Blvd, Houston, TX 77047 2014-08-06
1871915363 Latoya Mitchell Speech-Language Pathologist 3027 Westwood Manor Lane, Houston, TX 77047 2014-01-17
1801227665 Rediate Negash Nurse Practitioner 3550 Swingle Rd Ms Bcm 700, Houston, TX 77047 2013-12-04
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Competitor

Search similar providers

City HOUSTON
Zip Code 77047

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.