NEW HAVEN, LLC


Address: 8001 Conner Road Ste102, Powell, TN 37849
Phone: (865) 947-3777

NEW HAVEN, LLC (NPI# 1417472507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417472507
Entity Type Organization
Organization Name NEW HAVEN, LLC
Practice Address 8001 Conner Road Ste102
Powell
TN 37849
Mailing Address 8001 Conner Rd Ste 102
Powell
TN 37849-3104
Practice Telephone (865) 947-3777
Practice Fax Number 8659476777
Mailing Telephone 8659473777
Mailing Fax Number 8659476777
Enumeration Date 2017-08-09
Last Update Date 2017-08-09
Authorized Official Name DONNA MARIA SMITH (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8659473777
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320900000X Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities L000000015356 TN Residential Treatment Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TN L000000015356 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1396995197 New Haven, LLC Specialist 3115 Sw 89th St, Oklahoma City, OK 73159-7901 2008-09-29

Office Location

Street Address 8001 CONNER ROAD STE102
City POWELL
State TN
Zip Code 37849

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104380930 Fannon Drug Co. Pharmacy 606 E. Emory Rd, Powell, TN 37849 2019-01-25
1790207785 Sarah Beuerlein Guerrette Registered Nurse 7730 Dannaher Drive, Powell, TN 37849 2017-07-11
1255860383 Eye Surgery Center of Knoxville, LLC Clinic/Center 7739 Dannaher Drive, Powell, TN 37849 2017-06-12
1306375720 Elizabeth Kathy Haun Nurse Practitioner 325 Strader Rd, Powell, TN 37849 2017-06-08
1063642593 Emily H Griffith Pharmacist 430 Emory Road, Powell, TN 37849 2009-07-17
1497909428 Carolyn E Pendergast Occupational Therapist 7557 Dannaher Lane, Suite G30, Powell, TN 37849 2008-11-04
1982883468 Marcella June Greene Surgery 7557a Dannaher Dr, Suite 110, Powell, TN 37849 2007-10-31
1629260542 Frances L Do Physician Assistant 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 2007-08-14
1780715870 Diane Elizabeth Crabb Registered Nurse 7714 Conner Road, Ste 105, Powell, TN 37849 2007-03-08
1639192289 Calley Jo Perry Dentist 7315 Clinton Hwy, Powell, TN 37849 2006-07-25
Find all providers in zip 37849

Taxonomy Information

Taxonomy Code 320900000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194332148 Talley Boarding Home Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2741 Smith Springs Rd, Nashville, TN 37217 2020-09-24
1821613571 Jasmine E Jackson Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3165 Overton Crossing St, Memphis, TN 38127-6522 2020-06-09
1780208116 Indya Daniels Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 262 Carriage House Dr, Jackson, TN 38305-2228 2020-06-01
1841830387 Charis Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8820 Trinity Rd Ste 101, Cordova, TN 38018-2735 2020-01-13
1447891171 Hamelmal S Admassie Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 880 Pin Oak Dr, Antioch, TN 37013-1532 2019-10-03
1285294306 Kiarad Enterprises Services LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3994 Edenburg Dr, Memphis, TN 38127-4112 2019-06-20
1467910992 Milestone Home Healthcare Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1037 Jefferson St Ste G, Nashville, TN 37208-2554 2019-03-04
1255897831 Salim Homes Residential Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2714 Deerfield Dr, Nashville, TN 37208-1225 2019-02-19
1407324411 Abundant Care Services Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2805 Foster Ave Ste 206, Nashville, TN 37210-5341 2018-11-07
1558837104 Vicki Mckissick Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 2131 Murfreesboro Pike Ste 210, Nashville, TN 37217-6306 2018-10-22
Find all providers with the same taxonomy

Competitor

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City POWELL
Zip Code 37849

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Dataset Information

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.

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