HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY (NPI# 1104447770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104447770 |
| Entity Type | Organization |
| Organization Name | HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY |
| Practice Address |
43284 W Arizona Ave Maricopa AZ 85138-8236 |
| Practice Telephone | 5203504697 |
| Mailing Telephone | 5203504697 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | TAMLA D ALEXANDER (PRESIDENT/CEO) |
| Authorized Official Telephone | 5203504697 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAY STARZ GROUP HOME, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 265556 | 05 |
| Street Address |
43284 W ARIZONA AVE |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85138-8236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366978462 | Tamla Alexander | Residential Treatment Facility, Emotionally Disturbed Children | 43284 W Arizona Ave, Maricopa, AZ 85138-8236 | 2017-05-10 |
| 1184223802 | Dennis Brooks | Clinic/Center | 43284 W Arizona Ave, Maricopa, AZ 85138-8236 | 2020-10-23 |
| 1811466196 | Yaundi Maeweather | Case Manager/Care Coordinator | 43284 W Arizona Ave, Maricopa, AZ 85138-8236 | 2018-11-16 |
| 1184154072 | Day Starz Group Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 43284 W Arizona Ave, Maricopa, AZ 85138 | 2017-06-14 |
| 1083141980 | Gioconda Herrera | Registered Nurse | 43284 W Arizona Ave, Maricopa, AZ 85138-8236 | 2017-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1154960722 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 41840 W Maricopa- Casa Grande Hwy, Maricopa, AZ 85138 | 2019-12-31 |
| 1780227413 | Gabriela Flores | Registered Nurse | 44150 W. Maricopa Casa Grande Hwy, Maricopa, AZ 85138 | 2019-10-25 |
| 1033752761 | Lizabeth Joy Stephens | Registered Nurse | 44150 West Maricopa-casa Grand Hwy., Maricopa, AZ 85138 | 2019-10-25 |
| 1922657964 | Cathy Jo Rogers | Registered Nurse | 18600 North Porter Road, Maricopa, AZ 85138 | 2019-09-11 |
| 1902463565 | Four Directions LLC | Respite Care | 37724 W Amalfi Ave, Maricopa, AZ 85138 | 2019-05-20 |
| 1972087013 | Kristina Donnay | Family Medicine | 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 | 2018-09-24 |
| 1861909657 | Four Directions LLC | Respite Care | 43989 W Wade Drive, Maricopa, AZ 85138 | 2018-01-03 |
| 1063939411 | Christina Kern | Specialist/Technologist | 42623 W. Colby Dr., Maricopa, AZ 85138 | 2017-08-26 |
| 1205357191 | Konadu Family | Community Based Residential Treatment Facility, Mental Illness | 40030 W Coltin Way, Maricopa, AZ 85138 | 2017-06-29 |
| Find all providers in zip 85138 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952938185 | Medford's Home, LLC | Community/Behavioral Health | 44276 W Neely Dr, Maricopa, AZ 85138-9427 | 2020-03-26 |
| 1316583198 | Sananga Care Homes LLC | Community/Behavioral Health | 41996 W Quinto Dr, Maricopa, AZ 85138-2587 | 2019-11-26 |
| 1184186355 | Comfort Care Celtic Homes | Community/Behavioral Health | 22509 N Celtic Ave, Maricopa, AZ 85139-8899 | 2019-04-04 |
| 1427514785 | New Haven Treatment Centers of America | Community/Behavioral Health | 42080 W Somerset Dr, Maricopa, AZ 85138-3277 | 2019-02-12 |
| 1073911293 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N John Wayne Pkwy, Suite C101, Maricopa, AZ 85139-8983 | 2014-12-22 |
| 1568878239 | Frederick Westby | Community/Behavioral Health | 21300 N John Wayne Pkwy Ste 103, Maricopa, AZ 85139-8964 | 2014-07-02 |
| 1679995260 | Pathway To Peace Addiction Recovery and Life Coaching, LLC | Community/Behavioral Health | 45305 W Horse Mesa Rd, Maricopa, AZ 85139-9128 | 2014-01-15 |
| 1518388289 | Before & After Home 4 Boys, LLC | Community/Behavioral Health | 40408 W Art Pl, Maricopa, AZ 85138-5149 | 2013-12-26 |
| 1629223003 | Paul Willis Grover | Community/Behavioral Health | 40752 W Robbins Dr, Maricopa, AZ 85238-6592 | 2008-11-26 |
| 1477715803 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N. John Wayne Parkway, Suite # C101, C103, C104, Maricopa, AZ 85139-8983 | 2008-06-26 |
| Find all providers in MARICOPA | ||||
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| 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.