Haven Residential Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HAVEN RESIDENTIAL CARE

Practice address

240 Harvard St Apt 107
Portland, ME 04103-3533

Phone

(207) 391-2527

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Ali A Hassan

Title

Ceo

Phone

(207) 391-2527

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1225744683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HARVARD ST APT 107",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033533",
            "telephone_number": "207-391-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HARVARD ST APT 107",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033533",
            "telephone_number": "207-391-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-391-2527"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qutaiba Hassoon
• Calla Margrete Hastings, FNP
• Jessica A Hathaway, M.D.
• Stephanie Hathaway, RDH
• Joshua Dillon Hauck, LMT
• Havenrise Residential Care LLC
• Havenwood Care of Maine LLC
• Joseph Haviland, DO
• Tricia Nicole Haviland, PA-C
• Hannah Hawes, LCPC-CC

• Developmentally Disabled Services Day Training Agency in Portland, ME
• Providers in Portland, ME by specialty
• Developmentally Disabled Services Day Training Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.