Family Haven LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FAMILY HAVEN LLC

Practice address

2913 17TH PL
Forest Grove, OR 97116-2613

Phone

(719) 201-2619

NPI assigned

Jan 27, 2026

Last updated

Jan 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Kibet

Title

Director

Phone

(719) 201-2619

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1769472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1275482820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 17TH PL",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 17TH PL",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162613",
            "telephone_number": "719-201-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-27",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "KIBET",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "719-201-2619"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Eilert
• Stephen T Ensign, LMT
• Dina H Erickson, O.D.
• Trina Marie Espiasse, RN, M.ED
• Allison Clair Evans
• Family Institute, P.C.
• Geoffrey Kirk Faris, D.M.D.
• Jonathan Bret Faris, DMD
• Nickolas Felten, D.D.S
• Ellen J Fiscus, MA, LPC, NCC

• Mental Illness Community Based Residential Treatment Facility in Forest Grove, OR
• Providers in Forest Grove, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

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

Verify at the official NPI Registry.