Green Haven LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREEN HAVEN LLC

Practice address

3136 S Ensenada Way
Aurora, CO 80013-3725

Phone

(303) 345-5518

NPI assigned

Apr 15, 2022

Organization subpart

No

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

Authorized official

Name

Arvis Hadley

Title

Director

Phone

(303) 345-5518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1205579463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2154 S EAGLE CT",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141524",
            "telephone_number": "303-345-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 S ENSENADA WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133725",
            "telephone_number": "303-345-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "ARVIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-345-5518"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• Developmentally Disabled Services Day Training Agency in Colorado

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