Pleasant Haven Home Care Provider

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PLEASANT HAVEN HOME CARE PROVIDER

Practice address

833 Joshua Tree CT
Owings Mills, MD 21117-1730

Phone

(443) 414-9884

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Luis Hardmon

Title

Ownwe

Phone

(443) 414-9884

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1013612639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 JOSHUA TREE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171730",
            "telephone_number": "443-414-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 JOSHUA TREE CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211171730",
            "telephone_number": "443-414-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HAVEN HOME CARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "HARDMON",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "OWNWE",
        "authorized_official_telephone_number": "443-414-9884"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.