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A Heavenly Home, LLC

NPI 1104487784ActiveOrganization· Assisted Living Facility· Paso Robles, CA

Assisted Living Facility in Paso Robles, California, registered in NPPES in June 2019. The authorized official on file is Jennifer Rodrigues Jimenez, Owner.

Overview

NPI1104487784
StatusActive
Entity typeOrganization
NPI issuedJun 25, 2019
Last updated in NPPESJun 25, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other assisted living facilities in Paso Robles

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