NPIMap

Organization Active NPI

Haven Behavioral Services of Pueblo, LLC

  • Adult Mental Health Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1013312107
Registry record updated Oct 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HAVEN BEHAVIORAL SERVICES OF PUEBLO, LLC
Practice address
1330 Quail Lake Loop
Suite 240
Colorado Springs, CO 80906-4651
Phone
(719) 640-5445
Fax
(719) 355-1789
NPI assigned
Oct 31, 2014
Organization subpart
Yes
Parent organization
HAVEN BEHAVIORAL HEALTHCARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2014

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

Authorized official

Name
Ms. Christy Keltner
Title
Avp Revenue Cycle
Phone
(615) 393-8816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1330 Quail Lake Loop
Suite 240
Colorado Springs, CO 80906-4651

Mailing address

3102 West End Avenue
Suite 1000
Nashville, TN 37203-1324
Phone (615) 393-8800

Other names 1

  • Haven Warrior Support Center Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1013312107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 WEST END AVENUE",
            "address_2": "SUITE 1000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031324",
            "telephone_number": "615-393-8800",
            "fax_number": "615-393-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "SUITE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-640-5445",
            "fax_number": "719-355-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF PUEBLO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN BEHAVIORAL HEALTHCARE INC.",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "KELTNER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "AVP REVENUE CYCLE",
        "authorized_official_telephone_number": "615-393-8816",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Warrior Support Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.