Haven Direct Health Systems LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HAVEN DIRECT HEALTH SYSTEMS LLC

Practice address

716 College View Dr Ste a
Riverton, WY 82501-2282

Phone

(307) 856-1189

NPI assigned

Nov 23, 2021

Organization subpart

No

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

Authorized official

Name

Jadell Hovander, APRNNPI 1184381287

Title

Managing Member

Phone

(307) 856-1189

Specialties & licenses 1

Addresses

Other names 1

• Haven Direct Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jadell Hovander, APRN

  • Nurse Practitioner
  • Riverton, WY
  • NPI 1184381287
  NPD Authorized official

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1043977176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6066",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825010399",
            "telephone_number": "307-856-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 COLLEGE VIEW DR STE A",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012282",
            "telephone_number": "307-856-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DIRECT HEALTH SYSTEMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "HOVANDER",
        "authorized_official_first_name": "JADELL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "307-856-1189",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Direct Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charity Rene Hardman, PT
• David Lawrence Harker, MD
• Erica Ann Harker
• Jacqueline Rae Harris, M.S., CCC-SLP
• Daniel Eugene Hauck, DDS
• Madelyn Carol Healer-Ward, P.T.A.
• Healing Element Chiropractic LLC
• Heidi Schaible
• Help for Health
• Angela Hensley

• Clinic/Center in Riverton, WY
• Providers in Riverton, WY by specialty
• Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.