HAVEN HOME HEALTH, LLC (NPI# 1275895542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275895542 |
| Entity Type | Organization |
| Organization Name | HAVEN HOME HEALTH, LLC |
| Other Organization Name | HAVEN HOME HEALTH & THERAPY |
| Practice Address |
850 N 25th St Ozark MO 65721-8033 |
| Mailing Address |
1114 W Jackson St Ozark MO 65721-9164 |
| Practice Telephone | 4175811234 |
| Practice Fax Number | 8885503518 |
| Mailing Telephone | (417) 581-1234 |
| Mailing Fax Number | 8885503518 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2017-08-01 |
| Authorized Official Name | JOHN RAY (CEO) |
| Authorized Official Telephone | 4175811234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MO | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MEDICARE TPAN | 267638 | 01 |
| Other Name | Type Code |
|---|---|
| Haven Home Health & Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733152 | Haven Home Health, LLC | Home Health | 12160 Abrams Rd, Suite 100, Dallas, TX 75243-4547 | 2005-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HAVEN HOME HEALTH, LLC | 850 North 25th Street, Ozark, MO 65721-8033 |
| Colorado Business Entities | Haven Home Health, LLC | 14405 W Colfax Ave, #279, Lakewood, CO 80401 |
| Street Address |
850 N 25TH ST |
| City | OZARK |
| State | MO |
| Zip Code | 65721-8033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740586940 | Haven Physical Therapy LLC | Physical Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2011-02-04 |
| 1306481775 | Matthew Skala | Occupational Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2019-11-08 |
| 1083116453 | Breanna Cantrell | Occupational Therapist | 850 N 25th St, Ozark, MO 65721-8033 | 2018-03-01 |
| 1861904336 | Frontier Pharmacy LLC | Pharmacist | 850 N 25th St, Ozark, MO 65721-8033 | 2017-10-24 |
| 1174920292 | Haven Home Health LLC | Hospice Care, Community Based | 850 N 25th St, Ozark, MO 65721-8033 | 2014-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054880 | Ramya Sravani Pakala | Family Medicine | 5571 N. 21st St., Ozark, MO 65721 | 2019-10-14 |
| 1871073346 | Regional Services | Nurse Practitioner | 1350 W Bluff Dr, Ozark, MO 65721 | 2018-08-15 |
| 1932602125 | Clarence William Jaggard Jr. | Family Medicine | Ozark Valley Medical Clinic 5571 N. 21st St., Ozark, MO 65721 | 2018-03-14 |
| 1053826750 | Veronica Keller | Speech-Language Pathologist | 3608 N. Highway Nn, Ozark, MO 65721 | 2017-12-05 |
| 1124546304 | Kara Nicole Peterson | Speech-Language Pathologist | 302 N 4th Ave., Ozark, MO 65721 | 2017-09-07 |
| 1912391368 | Mobile X-ray Services, LLC | Clinic/Center | 3050 N. 20th Street, Ozark, MO 65721 | 2015-03-24 |
| 1073787289 | Melissa Milan | Counselor | 332 South 3rd Street, Ozark, MO 65721 | 2008-04-17 |
| 1306038948 | Preferred Hospice of Missouri Southwest LLC | Hospice Care, Community Based | 1567 West Diane, Suite B, Ozark, MO 65721 | 2007-08-17 |
| 1508073040 | Retirement At Century Pines Inc. | Assisted Living Facility | 709 E. Mccracken, Ozark, MO 65721 | 2007-05-16 |
| 1184844482 | Ozark Medical Imaging Center | Radiology | 1500 W State Hwy J, Ozark, MO 65721 | 2007-04-27 |
| Find all providers in zip 65721 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246966 | Area Agency On Aging of Western Arkansas, Inc | Home Health | 257 Airport Road, Suite D, Ozark, AR 72949-9266 | 2006-04-25 |
| 1407396393 | Haven Physical Therapy | Home Health | 1114 W Jackson St, Ozark, MO 65721-9164 | 2017-02-27 |
| 1255435368 | Dale Medical Center | Home Health | 126 Hospital Ave, Ozark, AL 36360-2018 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033468 | Annette Presley | Home Health | 3008 Glade Ave, Saint Louis, MO 63136-1513 | 2020-11-04 |
| 1558962787 | Thoughti Inc. | Home Health | 911 Washington Ave Ste 433, Saint Louis, MO 63101-1271 | 2020-11-04 |
| 1942801345 | Homestead Health Care Ihs LLC | Home Health | 12405 Old Halls Ferry Rd Ste 100, Black Jack, MO 63033-4261 | 2020-11-03 |
| 1700487386 | Cwc Ihs, LLC | Home Health | 2347 Vorhof Dr, Saint Louis, MO 63136-5727 | 2020-11-02 |
| 1154922698 | Ericka Nycole Willis | Home Health | 4031 Dryden Ave, Saint Louis, MO 63115-2444 | 2020-11-02 |
| 1275133837 | Delicate Care, LLC | Home Health | 523 Coppinger Dr, Saint Louis, MO 63135-2111 | 2020-10-31 |
| 1629678818 | Modern Day Home Health Care | Home Health | 800 N Tucker Blvd Ste 453, Saint Louis, MO 63101-1000 | 2020-10-28 |
| 1114526894 | All About Love & Care Inc | Home Health | 2116 N Waterford Dr, Florissant, MO 63033-2301 | 2020-10-22 |
| 1639778764 | Icu Healthcare Solutions LLC | Home Health | 2441 Saint Cyr Rd, Jennings, MO 63136-5218 | 2020-10-20 |
| 1295334407 | Time of Serenity, LLC | Home Health | 5842 Macklind Ave, Saint Louis, MO 63109-3569 | 2020-10-19 |
| 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.