Skip to content
NPISignal

Organization

Heavenly Soles PLLC

NPI Record: ActivePodiatrist — Primary Podiatric Medicine
NPI1114342169
Surprise, Arizona

Provider's NPPES record last updated: November 8, 2016

Overview

Entity Type
Organization
NPI
1114342169
Primary Specialty
Podiatrist — Primary Podiatric Medicine
Practice Location
Surprise, Arizona
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 2:23 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Podiatrist

    Primary Podiatric Medicine

    Podiatric Medicine & Surgery Service Providers

    Primary

    Definition to come...

    Taxonomy code 213EP1101X
  • Clinic/Center

    Podiatric

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QP1100X
  • Assisted Living Facility

    Assisted Living, Behavioral Disturbances

    Nursing & Custodial Care Facilities

    A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

    Taxonomy code 3104A0630X
  • Alzheimer Center (Dementia Center)

    Nursing & Custodial Care Facilities

    A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer's Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations.

    Taxonomy code 311500000X
  • Custodial Care Facility

    Adult Care Home

    Nursing & Custodial Care Facilities

    A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

    Taxonomy code 311ZA0620X
  • Nursing Facility/Intermediate Care Facility

    Nursing & Custodial Care Facilities

    An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

    Taxonomy code 313M00000X

Provider-Reported License Information

Podiatrist (Arizona)
0711
Clinic/Center (Arizona)
0711
Assisted Living Facility (Arizona)
0711
Alzheimer Center (Dementia Center) (Arizona)
0711
Custodial Care Facility (Arizona)
0711
Nursing Facility/Intermediate Care Facility (Arizona)
0711
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

13954 W Waddell Rd

Suite 307

Surprise, Arizona 85379-8750

Phone: (623) 584-0760

Record Information

Enumeration Date
February 27, 2014
Provider's NPPES Record Last Updated
November 8, 2016
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue