Organization Active NPI

Haven of Hearts Inc

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1073329389
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAVEN OF HEARTS INC
Practice address
301 S Elm St Ste 327
Greensboro, NC 27401-2681
Phone
(336) 207-3101
NPI assigned
Dec 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
Shondelia Croom
Title
Ceo
Phone
(336) 207-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

301 S Elm St Ste 327
Greensboro, NC 27401-2681

Mailing address

301 S Elm St Ste 327
Greensboro, NC 27401-2681
Phone (336) 207-3101

National Provider Directory

National Provider Directory

Locations

301 S Elm St
Ste 328
Greensboro, NC 27401
Phone (336) 491-9006

301 S Elm St
Ste 327
Greensboro, NC 27401
Phone (336) 207-3101

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1073329389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S ELM ST STE 327",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012681",
            "telephone_number": "336-207-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ELM ST STE 327",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274012681",
            "telephone_number": "336-207-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HEARTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "SHONDELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-207-3101"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.