Hav -Tap, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RC5521 Issued in OK

Legal business name

HAV -TAP, INC.

Practice address

4100 Newport Ave
Oklahoma City, OK 73112-6334

Phone

(405) 943-4122

Fax

(405) 947-8262

NPI assigned

Nov 9, 2009

Last updated

Nov 9, 2009By 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

Mr. Robert L. Tackett

Title

President

Phone

(405) 306-3395

Specialties & licenses 1

Addresses

Other names 1

• The Harbor Other name

Locations

Practitioners 1

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.

• Barry Lee Gilliam Jr.

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
  • NPI 1962779256
  NPD (past)

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1184951352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NEWPORT AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126334",
            "telephone_number": "405-943-4122",
            "fax_number": "405-947-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NEWPORT AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731126334",
            "telephone_number": "405-943-4122",
            "fax_number": "405-947-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAV -TAP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-306-3395",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "RC5521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Harbor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathleen Ann Hauck
• Kaley A Hauge
• Joshua James Haus, MD
• Michael T. Hauser, M.D.
• Julie Hausmann, MD
• Hav, LLC (Moving Forward Foot and Ankle Specialists)
• Brooke D Havel
• Lee Adair Hawes, RPT
• Sarah M Hawk, PA
• Stephanie Hawk

• Assisted Living Facility in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Assisted Living Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; 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.