Loving Haven Residential Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LOVING HAVEN RESIDENTIAL ASSISTED LIVING

Practice address

579 Belmont Ave
Haledon, NJ 07508-1629

Phone

(551) 202-2573

NPI assigned

Nov 2, 2024

Organization subpart

No

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

Authorized official

Name

Kesha C Baptiste, REGISTERED NURSE

Title

Ceo

Phone

(551) 202-2573

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1013730720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 N STE 104",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533422",
            "telephone_number": "551-202-2573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 BELMONT AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081629",
            "telephone_number": "551-202-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING HAVEN RESIDENTIAL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "KESHA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "551-202-2573",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Karl Levy, RPH
• Anastasios Liakos, PHARMD
• Life Opportunities Unlimited: a Non Profit Corporation
• Living in Freedom Inx.
• Loving Haven Homecare Agency
• M & S Psychotheraphy & Counseling Integrated LLC
• Medforce Ambulance Medical Services
• Medical Group of North Jersey
• Medical Specialist of Northern Jersey LLC
• Neema Modi

• All providers in Haledon, NJ
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.