Haven Healthkare Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN HEALTHKARE SERVICES

Practice address

5320 N Main St # 2a
Dayton, OH 45415-3657

Phone

(937) 567-0638

Fax

(937) 567-0698

NPI assigned

Jan 16, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Clive FomenkyNPI 1811284797

Title

Ceo

Phone

(937) 248-6394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Clive Nkafu Fomenky

  • Licensed Practical Nurse
  • Englewood, OH
  • NPI 1811284797
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1235900416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 N MAIN ST # 2A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153657",
            "telephone_number": "937-567-0638",
            "fax_number": "937-567-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 N MAIN ST # 2A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454153657",
            "telephone_number": "937-567-0638",
            "fax_number": "937-567-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTHKARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "FOMENKY",
        "authorized_official_first_name": "CLIVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-248-6394",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Charles Hauser, MPT, MA
• Timothy R Hauser, M.D.
• Jennifer Elaine Hausfeld, COTA
• Christos Haveles, MD
• Haven Behavioral Services of Dayton, LLC (Haven Behavioral Hospital of Dayton)
• Brooke N. Haven, NP
• Hannah Havenar
• Havens of Ohio LLC (Woodhaven)
• Autumn Marie Havens
• Graceilia Ellen Havens, RDN

• Home Health Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.