Haven of Peace LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HAVEN OF PEACE LLC

Practice address

3032 N 6TH St
Milwaukee, WI 53212-1907

Phone

(414) 739-7587

NPI assigned

Dec 16, 2021

Organization subpart

No

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

Authorized official

Name

Malika A Nickelson

Title

Chief of Operations

Phone

(414) 739-7587

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1053070003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11143",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532110143",
            "telephone_number": "414-739-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121907",
            "telephone_number": "414-739-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF PEACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "NICKELSON",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "414-739-7587"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.linkedin.com/in/haven-of-peace-372b67228/",
            "affiliation": "N",
            "endpointDescription": "linkedin",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3032 N 6th St",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532121907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna L Hausler, PAC
• Evyn Hausman, M.S.
• Patricia A Hautala, NP
• Nancy E Havas, MD
• Haven Behavioral Health
• Haven of Peace SHC LLC
• Haven Prenatal Care Coordination Agency
• Haven Women'S Care LLC
• Peter Havens, MD
• Robert J. Havlik, M.D.

• In Home Supportive Care Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.