NPIMap

Organization Active NPI

Haven Eeoi Holdings LLC

Doing business as Haven Home Health Care

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1275223364
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAVEN EEOI HOLDINGS LLC
Doing business as
Haven Home Health Care
Practice address
101 N Tryon St Ste And6000
Charlotte, NC 28246-0100
Phone
(866) 554-2836
NPI assigned
May 11, 2023
Last updated
Apr 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Julie Gojkovich
Title
Compliance Manager
Phone
(575) 635-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

101 N Tryon St Ste And6000
Charlotte, NC 28246-0100

Mailing address

885 Penniman Ave Unit 6426
Plymouth, MI 48170-7722

Other names 1

  • Haven Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Eeoi Holdings LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1275223364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N TRYON ST STE AND6000",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282460100",
            "telephone_number": "866-554-2836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN EEOI HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "GOJKOVICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "575-635-3318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.