Active NPI
Haven Haus II Inc.
- Mental Illness Community Based Residential Treatment Facility
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- HAVEN HAUS II INC.
- Practice address
- 7538 Buford Dr
Dallas, TX 75241-5408 - Phone
- (305) 988-7335
- NPI assigned
- Apr 20, 2026
- Last updated
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Detra L Jackson
- Title
- President
- Phone
- (305) 988-7335
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 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | |||
| Wound Care Registered Nurse | 163WW0000X | |||
| Licensed Vocational Nurse | 164X00000X | |||
| Mental Health Occupational Therapist | 225XM0800X | |||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Private Vehicle | 347C00000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X |
Addresses
Primary practice location
7538 Buford Dr
Dallas, TX 75241-5408
Mailing address
1910 Pacific Ave Ste 20001046
Dallas, TX 75201-4529
Phone (305) 988-7335
Other practice location 1
707 Panola Dr
Dallas, TX 75241-4543
Phone (305) 988-7335
Other practice location 2
7205 Aberdeen Dr
Rowlett, TX 75089-8813
Phone (305) 988-7335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Community Health Worker
- Dallas, TX
- NPI 1558206359
Community Based Residential Treatment Facility, Mental Illness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1245175967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 PACIFIC AVE STE 20001046",
"city": "DALLAS",
"state": "TX",
"postal_code": "752014529",
"telephone_number": "305-988-7335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7538 BUFORD DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752415408",
"telephone_number": "305-988-7335"
}
],
"practiceLocations": [
{
"address_1": "707 Panola Dr",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752414543",
"country_code": "US",
"telephone_number": "305-988-7335",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7205 Aberdeen Dr",
"address_purpose": "LOCATION",
"city": "Rowlett",
"state": "TX",
"postal_code": "750898813",
"country_code": "US",
"telephone_number": "305-988-7335",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAVEN HAUS II INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "DETRA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-988-7335"
},
"taxonomies": [
{
"code": "103TM1800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "164X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.