The Haven, Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

ME0060288 Issued in FL

Legal business name

THE HAVEN, INC

Practice address

21441 Boca Rio Rd
Boca Raton, FL 33433-2604

Phone

(561) 483-0962

Fax

(561) 487-8007

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Donald Stewart

Title

Executive Director

Phone

(561) 483-0962

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Haven2 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.

• The Haven

  • Clinical Social Worker
  • Boca Raton, FL
  • NPI 1861750663
  NPD tax ID

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1083748164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21441 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332604",
            "telephone_number": "561-483-0962",
            "fax_number": "561-487-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21441 BOCA RIO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332604",
            "telephone_number": "561-483-0962",
            "fax_number": "561-487-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "561-483-0962"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": "ME0060288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360001700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Encore at Boca Raton Rehabilitation and Nursing Center
• The Fountains Nursing Home Inc.
• The Fourmula Center, LLC (The Fourmula)
• The Harmony Transit
• The Haven
• The Health Institute, LLC.
• The Health Oasis (Dr Fuhrman's Health Oasis)
• The Institute for Applied Behavior Analysis
• The Lasik Vision Institute LLC
• The Levine Center for Internal Medicine LLC (The Levine Center)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.