NPIMap

Organization Active NPI

Haven Community and Social Services Agency

  • Community/Behavioral Health Agency
  • Maricopa, AZ
National Provider Identifier
1104447770
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY
Practice address
43284 W Arizona Ave
Maricopa, AZ 85138-8236
Phone
(520) 350-4697
NPI assigned
May 5, 2020
Organization subpart
Yes
Parent organization
DAY STARZ GROUP HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Tamla D AlexanderNPI 1366978462
Title
President/Ceo
Phone
(520) 350-4697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

43284 W Arizona Ave
Maricopa, AZ 85138-8236

Mailing address

43284 W Arizona Ave
Maricopa, AZ 85138-8236
Phone (520) 350-4697

Other identifiers 1

IdentifierTypeStateIssuer
265556MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsgh@daystarzgrouphome.org Day StarZ Group Home, Inc.

National Provider Directory

National Provider Directory
Part of
Day Starz Group Home Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1104447770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43284 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388236",
            "telephone_number": "520-350-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43284 W ARIZONA AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851388236",
            "telephone_number": "520-350-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAY STARZ GROUP HOME, INC.",
        "enumeration_date": "2020-05-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "TAMLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "520-350-4697"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265556",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsgh@daystarzgrouphome.org",
            "affiliation": "Y",
            "affiliationName": "Day StarZ Group Home, Inc.",
            "address_1": "43284 W Arizona Ave",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851388236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.