Blessed Haven

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BLESSED HAVEN

Practice address

1025 Plymouth Dr
New Bern, NC 28562-2537

Phone

(919) 571-9114

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Cleatrice Bonnie CampbellNPI 1689320921

Title

Owner

Phone

(919) 571-9114

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cleatrice Bonnie Campbell

  • Adult Care Home Facility
  • New Bern, NC
  • NPI 1689320921
  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1184372500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 PLYMOUTH DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622537",
            "telephone_number": "919-571-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PLYMOUTH DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622537",
            "telephone_number": "919-571-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CLEATRICE",
        "authorized_official_middle_name": "BONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-571-9114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areaonia Blalock, LCMHC-A, LCAS-A
• Ronald Dean Blanchard, LCAS, LCMHCA
• Zachary Blank, DPT
• Janice Reyburn Blann, NP
• Savina Blanton
• Priscilla Yvonne Blevins, MSW LCSW
• Alexis Blundon
• Chkylle Apoline Boado
• Cameron Bobbett, MD
• William Haywood Bobbitt III, MD

• Adult Care Home Facility in New Bern, NC
• Providers in New Bern, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.