Heavenly Assisted Living, Inc.
NPI 1407467806 · Assisted Living Facility · Port Orange, FL
Heavenly Assisted Living, Inc. is a Assisted Living Facility organization in Port Orange, FL (NPI 1407467806).
Provider details
- NPI number
- 1407467806
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Yohannes Fissiha, Owner(386) 767-6268
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Frequently asked questions
- What is Heavenly Assisted Living, Inc.'s NPI number?
- Heavenly Assisted Living, Inc.'s National Provider Identifier (NPI) is 1407467806, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heavenly Assisted Living, Inc.?
- Heavenly Assisted Living, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Heavenly Assisted Living, Inc. located?
- Heavenly Assisted Living, Inc.'s practice location on file with NPPES is 401 Orange Ave, Port Orange, FL 32127-4444.
- What is Heavenly Assisted Living, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Heavenly Assisted Living, Inc. is (386) 761-6268.
- Who is the authorized official for Heavenly Assisted Living, Inc.?
- The authorized official listed on Heavenly Assisted Living, Inc.'s NPPES record is Yohannes Fissiha, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heavenly Assisted Living, Inc.'s NPI active?
- Yes — Heavenly Assisted Living, Inc.'s NPI (1407467806) is active in the NPPES registry as of the last update on 2020-08-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.