HAVENS RECOVERY CENTER, LLC (NPI# 1912448747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912448747 |
| Entity Type | Organization |
| Organization Name | HAVENS RECOVERY CENTER, LLC |
| Practice Address |
4461 Broadway Grove City OH 43123-3064 |
| Practice Telephone | 6145942141 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-08-22 |
| Authorized Official Name | BERNARD OPPONG (CEO) |
| Authorized Official Telephone | 6144402775 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
4461 BROADWAY |
| City | GROVE CITY |
| State | OH |
| Zip Code | 43123-3064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144534322 | Bethany Leigh Wayt | Advanced Practice Midwife | 4461 Broadway, Suite 200, Grove City, OH 43123-3064 | 2010-07-30 |
| 1841648276 | Emerald Obstetrics and Gynecology LLC | Obstetrics & Gynecology | 4461 Broadway, Suite 200, Grove City, OH 43123-3064 | 2016-05-26 |
| 1134525124 | Lindsay R Eckman | Advanced Practice Midwife | 4461 Broadway, Suite 200, Grove City, OH 43123-3064 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165225 | Leetonya Henley | Registered Nurse | 4499 Rishel Street, Grove City, OH 43123 | 2020-05-14 |
| 1235792268 | Yunbo Tian | Student in an Organized Health Care Education/Training Program | Transitional Year, 5300 North Meadows Dr., Grove City, OH 43123 | 2019-04-16 |
| 1316402845 | Kristina Wojcik | Counselor | 5665 Hoover Road, Grove City, OH 43123 | 2019-02-08 |
| 1487134581 | Orthopedic One, Inc. | Orthopaedic Surgery | 5500 N. Meadows Drive, Grove City, OH 43123 | 2018-08-17 |
| 1699253658 | Ohiohealth Corporation | Pharmacy | 1375 Stringtown Road, Grove City, OH 43123 | 2018-08-01 |
| 1881102911 | Buckeye Anti-aging and Aesthetics | General Practice | 3699 Garden Ct, Grove City, OH 43123 | 2018-01-10 |
| 1093221764 | Alonda Shantel Long | Case Manager/Care Coordinator | 5665 Hoover Rd., Grove City, OH 43123 | 2017-12-18 |
| 1417466673 | Robert William Frazier Jr. | Social Worker | 3770 Santa Maria Dr., Grove City, OH 43123 | 2017-09-20 |
| 1053830885 | Grove City Surgery Center LLC | Clinic/Center | 1325 Stringtown Rd, Suite 100, Grove City, OH 43123 | 2017-09-13 |
| 1295253292 | Lori Little | Adult Companion | 5233 Thornhill Ct, Grove City, OH 43123 | 2017-08-30 |
| Find all providers in zip 43123 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881102911 | Buckeye Anti-aging and Aesthetics | General Practice | 3699 Garden Ct, Grove City, OH 43123 | 2018-01-10 |
| 1790981231 | Kevin Wayne Bowers | General Practice | 1866 Pinnacle Club Dr, Grove City, OH 43123-8372 | 2007-06-22 |
| 1699016782 | Athletic Medical Solutions LLC | General Practice | 2222 Stringtown Rd, Grove City, OH 43123 | 2013-03-14 |
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| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | GROVE CITY |
| Zip Code | 43123 |
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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.