Haven Health Center of Norwich, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2275 Issued in CT

Legal business name

HAVEN HEALTH CENTER OF NORWICH, LLC

Practice address

60 Crouch Ave
Norwich, CT 06360-7329

Phone

(860) 889-2631

Fax

(860) 889-0266

NPI assigned

Nov 22, 2005

Last updated

Dec 28, 2007By 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

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1316920507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631",
            "fax_number": "860-889-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CROUCH AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063607329",
            "telephone_number": "860-889-2631",
            "fax_number": "860-889-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF NORWICH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Marie Harrington, AGNP-C
• Eugene Harris
• Lisa Garvey Harrison, APRN
• Jessie Ann Hatfield, BSN, RN
• Elizabeth C Hathaway, APRN
• Zoe C Hawes, NP
• Andrea Hay
• Brendan J Haywood, NP
• Bishop L Hazard
• Kendra Hazard

• Skilled Nursing Facility in Norwich, CT
• Providers in Norwich, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.