I Am Me Haven to Health , LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

I AM ME HAVEN TO HEALTH , LLC

Practice address

3808 Fairway Cir
Las Vegas, NV 89108-1106

Phone

(725) 867-1130

Fax

(725) 333-8966

NPI assigned

Apr 22, 2025

Last updated

Jul 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Antoinette Mims, AABA, CHW INPI 1205068285

Title

Executive Director

Phone

(678) 812-9764

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Mims, CHW

  • Counselor
  • Las Vegas, NV
  • NPI 1205068285
  NPD Authorized official
• Charles Ellis, LCSW-C

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1215017009
  NPD (past)

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1124815113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 FAIRWAY CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081106",
            "telephone_number": "678-812-9764",
            "fax_number": "725-333-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 FAIRWAY CIR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891081106",
            "telephone_number": "725-867-1130",
            "fax_number": "725-333-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I AM ME HAVEN TO HEALTH , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-812-9764",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AABA, CHW I"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sohaila Hyten
• Joann Hyun
• Suzanne Hyun
• I & E Respiratory Services Inc.
• I & E Respiratory Services Inc. (I & E Medical Services)
• I Am Me Patient Advocate Agency LLC
• I Care LLC
• I Care Primary Care LTD (I Care Healthcare)
• I Declare Home
• I Declare Homecare

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.