Organization Active NPI

Haven Corp.

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
National Provider Identifier
1306008883
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2007153889 Issued in CO
Legal business name
HAVEN CORP.
Practice address
125 N Parkside Dr Ste 108
Colorado Springs, CO 80909-6026
Phone
(719) 448-0865
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Carlos Villafan, MA, NCC
Title
Vice President of Operations
Phone
(719) 590-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2007153889 CO Primary

Addresses

Primary practice location

125 N Parkside Dr Ste 108
Colorado Springs, CO 80909-6026

Mailing address

1155 Kelly Johnson Blvd Ste 111
Colorado Springs, CO 80920-3957
Phone (719) 590-4124

National Provider Directory

National Provider Directory
Tax ID family
Haven Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

125 N Parkside Dr
Ste 108
Colorado Springs, CO 80909
Phone (719) 448-0865

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1306008883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 KELLY JOHNSON BLVD STE 111",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203957",
            "telephone_number": "719-590-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR STE 108",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096026",
            "telephone_number": "719-448-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "VILLAFAN",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "719-590-4124",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "2007153889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.