THE HAVEN (NPI# 1043515364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043515364 |
| Entity Type | Organization |
| Organization Name | THE HAVEN |
| Practice Address |
1450 S West Temple Apt F 304 Salt Lake City UT 84115-5203 |
| Mailing Address |
1450 South West Temple Apt F 304 Salt Lake City UT 84115-5203 |
| Practice Telephone | 8015778842 |
| Mailing Telephone | 8015778842 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |
| Authorized Official Name | HEATHER JOY CHASE (CASE MANAGER) |
| Authorized Official Telephone | 8015330070 |
| Authorized Official Credential | LSAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 16103 | UT | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437401536 | The Haven | Substance Abuse Rehabilitation Facility | 1015 E Adelaide Dr, Tucson, AZ 85719-2605 | 2012-10-12 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| 1598946873 | The Haven | Custodial Care Facility | 310 W Horton St, Zebulon, NC 27597-2520 | 2007-11-15 |
| 1861750663 | The Haven | Social Worker | 21441 Boca Rio Rd, Boca Raton, FL 33433-2604 | 2012-04-30 |
| 1326338054 | The Haven | Substance Abuse Rehabilitation Facility | 1107 E Adelaide Dr, Tucson, AZ 85719-2651 | 2011-04-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Haven | 8585 Criterion Drive #63330, Colorado Springs, CO 80920 |
| Washington State Corporations | THE HAVEN 3116 LLC | 3116 Kauffman Ave, Vancouver, WA 98660-2075 |
| New York State Corporations | THE HAVEN 718 LLC | 4721 Avenue N, Brooklyn, Ny 11234 |
| Oregon Corporations, Companies and Business Names | THE HAVEN AT CARVER LLC | 17794 S Clackamas River Drive, Oregon City, OR 97045 |
| Virginia Business Entities | The Haven at Fortuna Village LLC | 100 Dunbar Street, Spartanburg, South Carolina 29306 |
| Virginia Business Entities | The Haven at Haymarket LLC | 100 Dunbar St Ste 400, Spartanburg, South Carolina 29306 |
| Colorado Business Entities | The Haven at Lowry Condominium Association | 6795 E Tennessee Ave. Ste 404b, Denver, CO 80224 |
| New York State Corporations | THE HAVEN AT SKANDA, INCORPORATED | 4000 Mosley Road, Cazenovia, New York 13035 |
| New York State Corporations | THE HAVEN AT STAR LAKE, INC. | 60 Campus Drive, Star Lake, New York 13690 |
| Virginia Business Entities | The Haven at Stonefield LLC | 100 Dunbar Street, Spartanburg, South Carolina 29306 |
| Street Address |
1450 S WEST TEMPLE APT F 304 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013886 | Brc Wellness LLC | Substance Abuse Rehabilitation Facility | 4911 S 900 E Ste B, Salt Lake City, UT 84117-5747 | 2020-11-06 |
| 1528444999 | Jrl Broken Arrow LLC | Substance Abuse Rehabilitation Facility | 2610 S Highland Dr, Salt Lake City, UT 84106-2714 | 2015-08-07 |
| 1962891978 | Chris Ostler | Substance Abuse Rehabilitation Facility | 344 East 100 South,ste 301, Salt Lake City, UT 84111 | 2015-01-14 |
| 1144641564 | Ebh Southwest Services, Inc. | Substance Abuse Rehabilitation Facility | 8072 S Highland Dr, Salt Lake City, UT 84121-5037 | 2014-01-02 |
| 1093152290 | Sober Living Properties | Substance Abuse Rehabilitation Facility | 1027 E Millcreek Way, Salt Lake City, UT 84106-2015 | 2013-05-29 |
| 1831482231 | Project Recovery, Inc. | Substance Abuse Rehabilitation Facility | 1338 Foothill Dr, 162, Salt Lake City, UT 84108-2321 | 2011-05-18 |
| 1326358599 | Odyssey House | Substance Abuse Rehabilitation Facility | 340 East 100 South, Odyssey House, Salt Lake City, UT 84111 | 2010-10-20 |
| 1861524464 | Journey At Willowcreek | Substance Abuse Rehabilitation Facility | 8072 Highland Dr, Salt Lake City, UT 84121-5037 | 2007-03-09 |
| 1164521852 | Helping Hand Association | Substance Abuse Rehabilitation Facility | 974 East South Temple, Salt Lake City, UT 84102-1413 | 2006-09-21 |
| 1770696635 | House of Hope | Substance Abuse Rehabilitation Facility | 857 E 200 S, Salt Lake City, UT 84102-2334 | 2006-08-16 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
Please comment or provide details below to improve the information on THE HAVEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.