Organization Active NPI

Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mesa, AZ
National Provider Identifier
1174300909
Registry record updated Sep 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HATCH HAVEN, LLC
Practice address
752 S Toltec
Mesa, AZ 85204-3642
Phone
(480) 815-6490
Fax
(480) 393-1898
NPI assigned
Sep 14, 2023
Organization subpart
Yes
Parent organization
HATCH HAVEN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2023

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

Authorized official

Name
Steven Lee Norbut
Title
Manager
Phone
(480) 815-6490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

752 S Toltec
Mesa, AZ 85204-3642

Mailing address

PO Box 2937
Gilbert, AZ 85299-2937
Phone (480) 815-6490

Other names 1

  • Toltec Home Other name

National Provider Directory

National Provider Directory
Tax ID family
Hatch Haven LLC9 organizations share this tax ID, including this one
Part of
Hatch Haven LLC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1174300909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2937",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852992937",
            "telephone_number": "480-815-6490",
            "fax_number": "480-393-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 S TOLTEC",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043642",
            "telephone_number": "480-815-6490",
            "fax_number": "480-393-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATCH HAVEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HATCH HAVEN, LLC",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "NORBUT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-815-6490"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toltec Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.