HAVEN HOME HEALTH, LLC (NPI# 1295733152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295733152 |
| Entity Type | Organization |
| Organization Name | HAVEN HOME HEALTH, LLC |
| Practice Address |
12160 Abrams Rd Suite 100 Dallas TX 75243-4547 |
| Practice Telephone | 9726443000 |
| Mailing Telephone | 9726443000 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | GREG FLYNN (CFO) |
| Authorized Official Telephone | 9726773471 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 008425 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TX HOME HEALTH LICENSE | 008425 | 01 |
| TX | CLIA LAB WAIVER | 45D1010398 | 01 |
| TX | 159926801 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275895542 | Haven Home Health, LLC | Home Health | 850 N 25th St, Ozark, MO 65721-8033 | 2012-06-13 |
| 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 |
12160 ABRAMS RD SUITE 100 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-4547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619979960 | Priority Professional Services, Inc. | Home Health | 12160 Abrams Rd, Suite 625, Dallas, TX 75243-4547 | 2005-06-01 |
| 1811210834 | Orchids Health Care, LLC | Home Health | 12160 Abrams Rd, Ste 302, Dallas, TX 75243-4547 | 2010-03-04 |
| 1104835792 | Joseph Mary Care Providers Inc | Home Health | 12160 Abrams Rd, Suite 417, Dallas, TX 75243-4547 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| 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 |
|---|---|---|---|---|
| 1790383040 | Zarinda R Williams | Home Health | 6538 S Lancaster Rd, Dallas, TX 75241-3801 | 2020-10-09 |
| 1700490174 | Moye Healthcare | Home Health | 479 Shady Gln, Dallas, GA 30132-0516 | 2020-09-03 |
| 1215549084 | Alys-adele Conglomerate LLC | Home Health | 3319 Santa Teresa Ave, Dallas, TX 75228-3405 | 2020-08-21 |
| 1902415763 | Amedicus Home Health Inc. | Home Health | 9550 Forest Ln Ste 125, Dallas, TX 75243-5964 | 2020-07-28 |
| 1659998433 | Encompass Health Home Health of The Southwest, LLC | Home Health | 6688 N Central Expy Ste 1200, Dallas, TX 75206-3950 | 2020-06-29 |
| 1255957619 | Two Circles Home Health Care, Inc. | Home Health | 1908 Royal Ln Ste 350, Dallas, TX 75229-3128 | 2020-06-22 |
| 1154947034 | Reliable Optimum Services LLC | Home Health | 1068 Merchants Dr Apt 817, Dallas, GA 30132-2978 | 2020-06-17 |
| 1194340067 | Trilogy Health Care Nursing Care Next Door | Home Health | 103 Arbor Creek Way, Dallas, GA 30157-5569 | 2020-06-16 |
| 1861017071 | Zetis Health Services Inc. | Home Health | 5769 Belt Line Rd Apt 708, Dallas, TX 75254-7676 | 2020-06-12 |
| 1013531342 | Texas Care One Home Health LLC | Home Health | 9550 Forest Ln # 226, Dallas, TX 75243-5905 | 2020-06-02 |
| Find all providers in DALLAS | ||||
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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.