Haven Supports, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HAVEN SUPPORTS, LLC

Practice address

920 E 8TH St
Pittsburg, KS 66762-4302

Phone

(620) 235-0177

Fax

(620) 235-0177

NPI assigned

Feb 13, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Justin Hermes

Title

President Ceo

Phone

(620) 235-0177

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003958273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667620299",
            "telephone_number": "620-235-0177",
            "fax_number": "620-235-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E 8TH ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667624302",
            "telephone_number": "620-235-0177",
            "fax_number": "620-235-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN SUPPORTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "HERMES",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "620-235-0177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100401690A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Harrell
• Shawn Harrigan
• Kathryn Harrington
• Jessica J. Hartzfeld, NP
• Haskell Regional Hospital, Inc. (ONH Medical Group, Pittsburg)
• Healing Hands Caring Hearts LLC
• Healogics Specialty Physicians of Kansas, LLC
• Health & Family Services
• Heart and Vascular Care, P.C.
• Heartland Pittsburg Dialysis LLC

• Point of Service in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Point of Service in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.