Organization Active NPI

Clara Haven LLC

  • Rehabilitation Clinic/Center
  • Garland, TX
National Provider Identifier
1144043969
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
CLARA HAVEN LLC
Practice address
2002 Village Green Dr
Garland, TX 75044-7142
Phone
(214) 991-8235
NPI assigned
Nov 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Andrea Osato Osunbor, COTANPI 1437740446
Title
Founder
Phone
(214) 991-8235

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

2002 Village Green Dr
Garland, TX 75044-7142

Mailing address

2002 Village Green Dr
Garland, TX 75044-7142
Phone (214) 991-8235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250219001005 TX Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8224558481 Receives reassigned benefits from 1 practitioner
Practice locations: Garland, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1144043969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 VILLAGE GREEN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447142",
            "telephone_number": "214-991-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 VILLAGE GREEN DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447142",
            "telephone_number": "214-991-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARA HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "OSUNBOR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "OSATO",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "214-991-8235",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.