OrganizationActive
A Heavenly Home, LLC
NPI 1104487784 · Assisted Living Facility · Paso Robles, CA
Provider details
- NPI number
- 1104487784
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Jimenez, Owner(310) 889-8586
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1920 Prospect Ave
Paso Robles, CA 93446-6343
Phone: (310) 889-8586
Fax: (805) 296-3239
Approximate (ZIP-level) locationGet directions
Mailing address
1920 Prospect Ave
Paso Robles, CA 93446-6343
Registry dates
- Enumerated
- 2019-06-25
- Last updated
- 2019-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.