Organization Active NPI

The Haven

  • Substance Abuse Rehabilitation Facility
  • Salt Lake City, UT
National Provider Identifier
1043515364
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
16103 Issued in UT
Legal business name
THE HAVEN
Practice address
1450 S West Temple
Apt F 304
Salt Lake City, UT 84115-5203
Phone
(801) 577-8842
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

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

Authorized official

Name
Heather Joy Chase, LSACNPI 1437427630
Title
Case Manager
Phone
(801) 533-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 16103 UT Primary

Addresses

Primary practice location

1450 S West Temple
Apt F 304
Salt Lake City, UT 84115-5203

Mailing address

1450 South West Temple
Apt F 304
Salt Lake City, UT 84115-5203
Phone (801) 577-8842

National Provider Directory

National Provider Directory
Tax ID family
Helping Hand Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1043515364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 SOUTH WEST TEMPLE",
            "address_2": "APT F 304",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155203",
            "telephone_number": "801-577-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S WEST TEMPLE",
            "address_2": "APT F 304",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841155203",
            "telephone_number": "801-577-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "CHASE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "801-533-0070",
        "authorized_official_credential": "LSAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "UT",
            "license": "16103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.