NPIMap

Organization Active NPI

Haven of Scottsdale, LLC

  • Skilled Nursing Facility
  • Scottsdale, AZ
National Provider Identifier
1043678626
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAVEN OF SCOTTSDALE, LLC
Practice address
3293 N Drinkwater Blvd
Scottsdale, AZ 85251-6405
Phone
(801) 296-5100
NPI assigned
Feb 10, 2016
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HAVEN HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Brett Robertson
Title
Ceo
Phone
(480) 935-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3293 N Drinkwater Blvd
Scottsdale, AZ 85251-6405

Mailing address

3293 N Drinkwater Blvd
Scottsdale, AZ 85251-6405
Phone (801) 296-5100

Other identifiers 1

IdentifierTypeStateIssuer
244092MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160902000059 AZ Part A Provider - Skilled Nursing Facility 4880980655 Practice locations: Scottsdale, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043678626. Details of each certification follow.

Skilled nursing facility certification: CCN 035059

Legal name
HAVEN OF SCOTTSDALE LLC
Doing business as
HAVEN HEALTH GROUP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 16, 1978
Last certification
Oct 10, 2024
Beds
56
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Haven Health Group
Organization structure
LLCProprietary
Enrollment address
3293 N Drinkwater Blvd
Scottsdale, AZ 85251-6405
Nursing home name
HAVEN OF SCOTTSDALE
Affiliated entity
HAVEN HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Haven of ScottsdaleCCN 035059 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 16, 1978
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5647.0 residents per day on average
Chain
Haven Health20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Part of
Haven Health Group LLC

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nicole Murphy Individual Operational/Managerial Control Aug 1, 2023
Adp of the SNF Aug 1, 2023
Christian R West Individual 5% Or Greater Indirect Ownership InterestCio Apr 1, 2016 6.4%
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Neeraj K Vij Individual Operational/Managerial Control Jan 1, 2023
Adp of the SNF Jan 1, 2023
Haven Health Properties LLC Organization, Laguna Beach, CA Created for acquisition 5% Or Greater Mortgage Interest Apr 1, 2016 100%
Adp of the SNF Nov 25, 2024
Stephen Samuelian Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2016 36.73%
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Robert Samuelian Individual 5% Or Greater Indirect Ownership InterestManager Apr 1, 2016 20.13%
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Eric Kenneth Dixon Individual Operational/Managerial Control Sep 15, 2025
Adp of the SNF Sep 15, 2025
Spencer R Samuelian Individual 5% Or Greater Indirect Ownership InterestCoo Apr 1, 2016 25.21%
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Mark Muir Individual Operational/Managerial Control Feb 15, 2015
Adp of the SNF Feb 15, 2015
Haven Scottsdale Real Estate LLC Organization, Laguna Beach, CA Created for acquisition, Owned by another organization or individual 5% Or Greater Mortgage Interest Apr 1, 2016 100%
Adp of the SNF Nov 26, 2024
Jason J Seastrand Individual Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Indirect Ownership Interest Apr 1, 2016 3.92%
Lindsay Fragoso Individual Operational/Managerial Control May 10, 2021
Adp of the SNF May 10, 2021
Brett P Robertson Individual 5% Or Greater Indirect Ownership InterestCeo Apr 1, 2016 7.61%
Operational/Managerial Control Apr 1, 2016
Adp of the SNF Apr 1, 2016
Haven Health Group LLC Organization, Laguna Beach, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2016 100%
Direct Ownership Interest Apr 1, 2016 100%
Stock Longhurst Individual Operational/Managerial Control Nov 15, 2020
Adp of the SNF Nov 15, 2020
Health Group Management LLC Organization, Laguna Beach, CA Management services company Operational/Managerial Control Nov 25, 2024
Adp of the SNF Nov 25, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1455062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1043678626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3293 N DRINKWATER BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516405",
            "telephone_number": "801-296-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3293 N DRINKWATER BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516405",
            "telephone_number": "801-296-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF SCOTTSDALE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN HEALTH GROUP LLC",
        "enumeration_date": "2016-02-10",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-935-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "244092",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.