HAVENHOME, INC (NPI# 1578128179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578128179 |
| Entity Type | Organization |
| Organization Name | HAVENHOME, INC |
| Practice Address |
16100 Parklawn Pl Bowie MD 20716-1906 |
| Practice Telephone | 3013233715 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | FEDDY JOHN LEWIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3013233715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174200000X | Meals | Other Service Providers | ||
| N | 177F00000X | Lodging | Other Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| N | 273Y00000X | Rehabilitation Unit | Hospital Units | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| N | 385HR2050X |
Respite Care Specialization: Respite Care Camp |
Respite Care Facility | ||
| N | 385HR2055X |
Respite Care Specialization: Respite Care, Mental Illness, Child |
Respite Care Facility | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| N | 385HR2065X |
Respite Care Specialization: Respite Care, Physical Disabilities, Child |
Respite Care Facility | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
16100 PARKLAWN PL |
| City | BOWIE |
| State | MD |
| Zip Code | 20716-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330903 | Stacey Katheryn Lundquist | Counselor | 3060 Michellville Rd, Suite 106, Bowie, MD 20716 | 2019-01-18 |
| 1427528819 | Nicole Rudd | Counselor | 4315 Northview Dr, Bowie, MD 20716 | 2018-11-28 |
| 1427541838 | Outreach Recovery II, LLC | Internal Medicine | 4201 Northview Dr Ste 104, Bowie, MD 20716 | 2018-06-11 |
| 1487143608 | Fatimata Koroma | Counselor | 3953 Elite St, Bowie, MD 20716 | 2018-05-02 |
| 1043739618 | Breanna Collinson | Behavior Technician | 3017 New Oak Ln., Bowie, MD 20716 | 2017-09-15 |
| 1790202000 | Sierra Williams Howell | Nurse Practitioner | 2802 Eliston Street, Bowie, MD 20716 | 2017-08-28 |
| 1487175105 | Martine Jean | Technician | 15911 Pointer Ridge Rd, Bowie, MD 20716 | 2017-07-03 |
| 1902254493 | Olachi Enwerem | Licensed Practical Nurse | 16206 Audubon Lane, Bowie, MD 20716 | 2016-05-25 |
| 1780039230 | Debra Lachaune Garris | Specialist | 3042 Mitchiville Road, Bowie, MD 20716 | 2016-05-03 |
| 1750782553 | Medical Trasportation Systems LLC | Non-emergency Medical Transport (VAN) | 16036 Elegant Ave, Bowie, MD 20716 | 2014-09-11 |
| Find all providers in zip 20716 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437914 | Care First Home Health Care | In Home Supportive Care | 12806 Willow Marsh Ln, Bowie, MD 20720-4692 | 2020-05-01 |
| 1568097814 | Butlers Peak Incorporated | In Home Supportive Care | 12402 Sandal Ln, Bowie, MD 20715-2109 | 2020-03-06 |
| 1437614252 | Ivy Taylor | In Home Supportive Care | 11907 Backus Dr, Bowie, MD 20720-4465 | 2019-02-06 |
| 1669915286 | Prospect Home Care Services. Inc. | In Home Supportive Care | 14001 Heatherstone Dr, Bowie, MD 20720-4831 | 2016-11-30 |
| 1720440605 | Horizon Home Care Agency, LLC | In Home Supportive Care | 13009 Belle Meade Trce, Bowie, MD 20720-4679 | 2016-03-22 |
| 1669865358 | Paths, LLC | In Home Supportive Care | 14514 Dunwood Valley Dr, Bowie, MD 20721-1270 | 2015-03-05 |
| 1790181162 | Lifenet Healthcare Services, Inc. | In Home Supportive Care | 12812 Willow Marsh Ln, Bowie, MD 20720-4692 | 2014-11-13 |
| 1942619119 | Leeds Healthcare LLC | In Home Supportive Care | 9903 Glenkirk Way, Bowie, MD 20721-2984 | 2014-08-12 |
| 1619309697 | Optimal Homecare Services Inc | In Home Supportive Care | 11305 Kencrest Dr, Bowie, MD 20721-2457 | 2013-08-01 |
| 1215257795 | Financial Empowerment Business Enterprise, Inc | In Home Supportive Care | 1522 Pointer Ridge Pl, Suite M, Bowie, MD 20716-1875 | 2010-06-07 |
| Find all providers in BOWIE | ||||
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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.