NPIMap

Organization Active NPI

Haven Women'S Care LLC

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1205713633
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
HAVEN WOMEN'S CARE LLC
Practice address
8480 S Eastern Ave Ste F
Las Vegas, NV 89123-2822
Phone
(702) 830-5325
Fax
(702) 830-4385
NPI assigned
Aug 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Kandy Morris, DRPH, MPH, CPM, CDNPI 1588851323
Title
Ceo
Phone
(702) 728-0528

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

8480 S Eastern Ave Ste F
Las Vegas, NV 89123-2822

Mailing address

PO Box 401477
Las Vegas, NV 89140-1477
Phone (702) 830-5325

Other names 1

  • Haven Care Clinic Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2338722Haven Care Clinic8480 S Eastern Ave Ste F, Las Vegas, NV 89123Certificate of waiverFeb 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Haven Care Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2741 W Fond du Lac Ave
Milwaukee, WI 53210
Phone (725) 543-2935

Practitioners & affiliated clinicians

Practitioners 6

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": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1205713633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401477",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891401477",
            "telephone_number": "702-830-5325",
            "fax_number": "702-830-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8480 S EASTERN AVE STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232822",
            "telephone_number": "702-830-5325",
            "fax_number": "702-830-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN WOMEN'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "KANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-728-0528",
        "authorized_official_credential": "DRPH, MPH, CPM, CD"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.