REST HAVEN LLC (NPI# 1679905269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679905269 |
| Entity Type | Organization |
| Organization Name | REST HAVEN LLC |
| Practice Address |
1005 Bland St Norfolk VA 23513-3386 |
| Mailing Address |
1005 Bland Street Norfolk VA 23513 |
| Practice Telephone | 7573516981 |
| Mailing Telephone | 7573516981 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-12-05 |
| Authorized Official Name | MR. BRIAN STERLING HAWKINS (DIRECT/OWNER) |
| Authorized Official Telephone | 7575727206 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | REST HAVEN LLC | 10604 Ne 38th Pl, Ste 227, Kirkland, WA 98033-7931 |
| Street Address |
1005 BLAND ST |
| City | NORFOLK |
| State | VA |
| Zip Code | 23513-3386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083010508 | Brian S Hawkins | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1005 Bland St, Norfolk, VA 23513-3386 | 2014-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417505736 | Dennis Todd Doyle | Speech-Language Pathologist | Norview High School, 6501 Chesapeake Blvd, Norfolk, VA 23513 | 2019-08-29 |
| 1760952592 | R&r Residential, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2714 Sewells Point Rd, Norfolk, VA 23513 | 2018-12-05 |
| 1881100980 | A Touch of Heaven, Inc | Home Health | 2350 Azalea Garden Rd, Norfolk, VA 23513 | 2017-12-27 |
| 1346767480 | Sonya Scott | Driver | 1254 Piccadilly St. Apt A, Norfolk, VA 23513 | 2017-08-29 |
| 1518481787 | Hampton Roads Transportation, Inc. | Taxi | 6304 Sewells Point Road, Norfolk, VA 23513 | 2017-07-31 |
| 1942740626 | Carlisle Living LLC | Home Health | 3300 East Princess Ann Rd, Norfolk, VA 23513 | 2017-03-01 |
| 1528347283 | Brooke Taylor Krolewski | Pharmacist | 5313 Henneman Drive, Norfolk, VA 23513 | 2011-08-12 |
| 1639496995 | Miranda Dennis | Social Worker | 3131 Azalea Garden Rd # B, Norfolk, VA 23513 | 2010-04-27 |
| 1972759421 | Norview Family Practice | Family Medicine | 1477 Norview Avenue, Norfolk, VA 23513 | 2008-08-15 |
| 1508037094 | Lisa M. Weaber | Counselor | 7460 Central Business Park Drive, Norfolk, VA 23513 | 2008-03-12 |
| Find all providers in zip 23513 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386802759 | Achievers House | Community Based Residential Treatment Facility, Mental Illness | 1702 Brown Ave, Norfolk, VA 23504-4405 | 2008-06-01 |
| 1508036054 | Covenant 21st Century Ministries, Inc | Community Based Residential Treatment Facility, Mental Illness | 260 Filbert St, Norfolk, VA 23505-4410 | 2008-03-11 |
| 1720282858 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 1352 Hanson Ave, Norfolk, VA 23504-2965 | 2007-06-13 |
| 1912101049 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 2252 Barraud Ave, Norfolk, VA 23504-2624 | 2007-06-13 |
| 1245434752 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 238 W 30th St, Norfolk, VA 23504-1520 | 2007-06-11 |
| 1285838797 | Paramount Youth Services | Community Based Residential Treatment Facility, Mental Illness | 3115 Lorraine Ave, Norfolk, VA 23509-1127 | 2007-06-11 |
| 1326240300 | Bj Associates | Community Based Residential Treatment Facility, Mental Illness | 901 E Indian River Rd, Norfolk, VA 23523-1723 | 2007-06-02 |
| 1811023997 | Campbell House Inc | Community Based Residential Treatment Facility, Mental Illness | 2531 Vincent Ave, Norfolk, VA 23509-2339 | 2007-02-26 |
| 1639615198 | The Link Dual Recovery Program | Community Based Residential Treatment Facility, Mental Illness | 305 N 9th St, Norfolk, NE 68701-3915 | 2017-01-09 |
| 1326364696 | Purvis Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 2829 Mapleton Ave, Norfolk, VA 23504-3721 | 2010-04-12 |
| Find all providers in NORFOLK | ||||
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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.