Havenwood Assisted Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAVENWOOD ASSISTED CARE LLC

Practice address

251 Walnut St
New Bedford, MA 02740-4964

Phone

(857) 205-0683

NPI assigned

Sep 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nafisa Sideeka

Title

Managing Partner

Phone

(857) 205-0683

Specialties & licenses 1

Addresses

Other names 1

• HAVENWOOD ASSISTED CARE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1003633009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WELCH RD",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WALNUT ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027404964",
            "telephone_number": "857-205-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENWOOD ASSISTED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "SIDEEKA",
        "authorized_official_first_name": "NAFISA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "857-205-0683"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAVENWOOD ASSISTED CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Assisted Living Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.