P Praxis·MD
● Active Type 2 · Organization

Heavenly Assisted Care, Llc

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Jonesboro, GA· NPI 1518297175 · Enumerated 2010 · 16 years on NPI
Heavenly Assisted Care, Llc is 1 of 168 residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
16 years
Enumerated 2010-01-05
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kimes
President
Last NPPES update
2010-01-07
Source: monthly bulk 2026-05

How this organization compares

Across 168 active residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
16 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-01Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
10555 Aspenwood Ct
Jonesboro, GA 30238
📞 4047134982fax 6784132491
Mailing address
3240 Glencree Rd
Conyers, GA 300128836
📞 4047134982fax 6784132491

Authorized official

Heavenly E. Kimes, D.D.S
President
📞 6786257505

Specialties

  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    GA license #DN012304 taxonomy 320600000X

Identifiers

TypeValueNotes
05 (GA) 481264351A

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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