HAVEN NURSING HOME, INC (NPI# 1265436885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265436885 |
| Entity Type | Organization |
| Organization Name | HAVEN NURSING HOME, INC |
| Other Organization Name | ARLINGTON WEST NURSING & REHAB CENTER |
| Practice Address |
3939 Penhurst Ave Baltimore MD 21215-5632 |
| Practice Telephone | 4106649535 |
| Practice Fax Number | 4106640806 |
| Mailing Telephone | 4106649535 |
| Mailing Fax Number | 4106640806 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | MR. AL L HOLSOPPLE (ADMINISTRATOR) |
| Authorized Official Telephone | 4106649535 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 30074 | MD | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 300687500 | 05 |
| Other Name | Type Code |
|---|---|
| Arlington West Nursing & Rehab Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255789491 | Haven Nursing Home, Inc | Skilled Nursing Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2016-05-27 |
| Street Address |
3939 PENHURST AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21215-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639649312 | Arlington West Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2018-11-26 |
| 1861907727 | Njinkeng Violet Fomengia | Physical Therapist | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2017-12-13 |
| 1659808004 | Emily Christine Hoskins | Speech-Language Pathologist | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2017-05-16 |
| 1255789491 | Haven Nursing Home, Inc | Skilled Nursing Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2016-05-27 |
| 1568849958 | Healthpro Rehabilitation | Skilled Nursing Facility | 3939 Penhurst Ave, Baltimore, MA 21215 | 2015-05-05 |
| 1992898407 | Terrell Trent | Occupational Therapist | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639736796 | Talal Abalkhail | Student in an Organized Health Care Education/Training Program | 2401 W. Belvedere Avenue, Baltimore, Md 21215, Baltimore, MD 21215 | 2019-05-23 |
| 1235795410 | Bilal Khan | Student in an Organized Health Care Education/Training Program | 2041 West Belvedere Avenue, Balitmore, MD 21215 | 2019-05-14 |
| 1669036067 | Nasir M Alhamdan | Student in an Organized Health Care Education/Training Program | Of Baltimore, 2401 West Belvedere Ave, Baltimore, MD 21215 | 2019-05-01 |
| 1851863971 | Brittany Michelle O'neill | Specialist/Technologist | Hearing and Speech Agency, 5900 Metro Drive, Baltimore, MD 21215 | 2018-12-31 |
| 1881164432 | Emily Gamma | Social Worker | 4810 Seton Drive, Baltimore, MD 21215 | 2018-11-27 |
| 1518440478 | Benson Baby | Physical Therapist | 2525west Belveder Ave, Baltimore, MD 21215 | 2018-09-07 |
| 1609360817 | Bonnie Kahler | Clinical Nurse Specialist | 2401 Belvedere Avenue, Baltimore, MD 21215 | 2018-06-20 |
| 1932693843 | Kelley Monica Cohill | Social Worker | Sinai Hospital, Department of Psychiatry, 2440 Cylburn Ave., Baltimore, MD 21215 | 2018-06-15 |
| 1497245609 | Kimberly Beth Koerner | Social Worker | 2401 W. Belvedere Avenue, Baltimore, MD 21215 | 2018-05-14 |
| 1184113078 | Mary Jo Kozel | Registered Nurse | 2401 West Belvedere, Baltimore, MD 21215 | 2018-05-07 |
| Find all providers in zip 21215 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| 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. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003386780 | Post-acute Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 5009 Frankford Avenue, Baltimore, MD 21206-5353 | 2018-11-26 |
| 1598973448 | Linda L Powe | Nursing Facility/Intermediate Care Facility | 200 S Rock Glen Rd, Baltimore, MD 21229-3249 | 2007-05-21 |
| 1528045986 | Joint Retirement Convent Inc | Nursing Facility/Intermediate Care Facility | 6806 Bellona Avenue, Baltimore, MD 21212-1299 | 2005-12-28 |
| 1669460754 | Little Sisters of The Poor Baltimore Inc | Nursing Facility/Intermediate Care Facility | 601 Maiden Choice Ln, St Martins Home, Baltimore, MD 21228-3630 | 2005-10-12 |
| 1639649312 | Arlington West Care Center Opco LLC | Nursing Facility/Intermediate Care Facility | 3939 Penhurst Ave, Baltimore, MD 21215-5632 | 2018-11-26 |
| 1366733727 | North Oaks At Woodholme, LLC | Nursing Facility/Intermediate Care Facility | 725 Mount Wilson Ln, Baltimore, MD 21208-1105 | 2011-04-20 |
| 1154476091 | Terrance L Baker Md | Nursing Facility/Intermediate Care Facility | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2007-01-23 |
| 1528122363 | Maryland Baptist Aged Home | Nursing Facility/Intermediate Care Facility | 2801 Rayner Ave, Baltimore, MD 21216-4628 | 2006-12-19 |
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| 1033264973 | The Grand Lodge of Ancient Free and Accepted Masons of Maryland | Nursing Facility/Intermediate Care Facility | 300 International Cir, Cockeysville, MD 21030-1300 | 2007-01-23 |
| 1639186695 | Coffman Nursing Home Inc | Nursing Facility/Intermediate Care Facility | 1304 Pennsylvania Ave, Hagerstown, MD 21742-3198 | 2006-08-02 |
| 1629013925 | Wicomico Nursing Home | Nursing Facility/Intermediate Care Facility | 900 Booth St, Salisbury, MD 21801-3006 | 2006-06-19 |
| 1245286368 | Villa Rosa Nursing Home | Nursing Facility/Intermediate Care Facility | 3800 Lottsford Vista Rd, Mitchellville, MD 20721-4018 | 2006-05-26 |
| 1013960970 | One Price Drive Operations LLC | Nursing Facility/Intermediate Care Facility | 1 Price Dr, Elkton, MD 21921-6731 | 2006-05-19 |
| 1538159595 | Sacred Heart Home | Nursing Facility/Intermediate Care Facility | 5805 Queens Chapel Rd, Hyattsville, MD 20782-3898 | 2005-10-21 |
| Find all providers with the same taxonomy | ||||
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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.