Haven of Health MBS LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HAVEN OF HEALTH MBS LLC

Practice address

101 Pendleton St
New Haven, CT 06511-2947

Phone

(203) 915-9282

NPI assigned

Jun 21, 2024

Last updated

Jul 1, 2024By 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

Shaurice Crenshaw, RNNPI 1598509135

Title

Clinical Administrator

Phone

(203) 915-9282

Specialties & licenses 1

Addresses

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.

• Shaurice Crenshaw, MBA, MSN, RN

  • Administrator Registered Nurse
  • Springfield, MA
  • NPI 1598509135
  NPD Authorized official

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1326882671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SNOW RDG N",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571568",
            "telephone_number": "203-915-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PENDLETON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112947",
            "telephone_number": "203-915-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HEALTH MBS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "CRENSHAW",
        "authorized_official_first_name": "SHAURICE",
        "authorized_official_title_or_position": "CLINICAL ADMINISTRATOR",
        "authorized_official_telephone_number": "203-915-9282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven James Hatten Jr., MD
• Katey Hauser, D.C.
• Ronald G Hauser III, M.D.
• Ryan Patrick Hausfeld, PA-C
• Haven Health Center of New Haven, LLC
• Lauren Elizabeth Haverl, DPT
• Fred Havlicek, PT
• Jaime T Hawat
• Kathryn Frances Hawk, M.D.
• Arya Alexander Hawkins-Zafarnia

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.