DEHAVEN HEALTHCARE, INC. (NPI# 1134308562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134308562 |
| Entity Type | Organization |
| Organization Name | DEHAVEN HEALTHCARE, INC. |
| Practice Address |
121 Ray Rd Hazlehurst GA 31539-5119 |
| Mailing Address |
131 Ray Rd Hazlehurst GA 31539-5119 |
| Practice Telephone | 8887821138 |
| Practice Fax Number | 9125253183 |
| Mailing Telephone | 8887821138 |
| Mailing Fax Number | 9125253183 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | MR. ROBERT W. DEHAVEN (PRESIDENT & CEO) |
| Authorized Official Telephone | 8887821138 |
| Authorized Official Credential | LPC, NCC, DAPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
121 RAY RD |
| City | HAZLEHURST |
| State | GA |
| Zip Code | 31539-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023079555 | Robert W. Dehaven | Counselor | 121 Ray Rd, Hazlehurst, GA 31539-5119 | 2006-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536646 | Eric Wayne Carelock | Registered Nurse | 209 S Tallahassee St P O Box 770, Hazlehurst, GA 31539 | 2017-09-04 |
| 1720322464 | Tattnall Hospital Company, LLC | Orthopaedic Surgery | 38 S. Tallahassee Street, Suite B, Hazlehurst, GA 31539 | 2012-11-19 |
| 1003112376 | Rogers W Wood Jr. | Pharmacist | 54 E Jarman St, Hazlehurst, GA 31539 | 2011-02-04 |
| 1235361015 | Kirk Alessandro Munsayac | Family Medicine | 22 Cross Street, Hazlehurst, GA 31539 | 2009-08-13 |
| 1629135355 | Janie W Baxter | Chiropractor | 171 Burketts Ferry Road, Hazlehurst, GA 31539 | 2007-01-02 |
| 1003304981 | Jennifer Lynn Lowe | Nurse Practitioner | 9 Hester St, Hazlehurst, GA 31539 | 2018-04-26 |
| 1760708580 | Jason Laney | Internal Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539 | 2010-04-19 |
| 1770889040 | Chips Discount Drugs Inc | Durable Medical Equipment & Medical Supplies | 240 S. Tallahassee St., Hazlehurst, GA 31539-0571 | 2011-02-04 |
| 1568730760 | David L Turfler Md PC | Family Medicine | 209 S Tallahassee St, Hazlehurst, GA 31539-0770 | 2011-12-02 |
| 1912902263 | Hospital Authority of Jeff Davis County Georgia | General Acute Care Hospital | 163 S Tallahassee St, Hazlehurst, GA 31539-1690 | 2005-06-14 |
| Find all providers in zip 31539 | ||||
| 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 |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
| City | HAZLEHURST |
| Zip Code | 31539 |
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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.