Havenwood Caregiver Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

IHS.FS.00000308 Issued in WA

Legal business name

HAVENWOOD CAREGIVER SERVICES

Practice address

303 E Wellesley Ave
Spokane, WA 99207-1578

Phone

(509) 535-1546

Fax

(509) 535-4635

NPI assigned

Mar 31, 2010

Organization subpart

No

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

Authorized official

Name

Mr. John Okeeffe

Title

Director

Phone

(208) 327-1011

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• OKeeffe Enterprises, LLC Former legal business name

Locations

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346565595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 N COLE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045907",
            "telephone_number": "208-327-1011",
            "fax_number": "208-327-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E WELLESLEY AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071578",
            "telephone_number": "509-535-1546",
            "fax_number": "509-535-4635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2417 N Cole Rd",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837045907",
            "country_code": "US",
            "telephone_number": "208-327-1011",
            "fax_number": "208-327-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVENWOOD CAREGIVER SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OKEEFFE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "208-327-1011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": "IHS.FS.00000308",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "ID",
            "license": "M8072875",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE ALTCEW",
            "identifier": "359880",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359880",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M8072875",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OKeeffe Enterprises, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Oscar German Haupt
• Penelope Belle Haupt, RN
• Rebecca Hauserman
• Clinton T Hauxwell, MD
• Taylor Haven
• Derrick Ray Havin, M.D.
• Jennifer S Havin
• Cindy Havko
• William Hawkes-Robinson
• Ariel Taylor Hawkes, LMP

• In Home Supportive Care Agency in Spokane, WA
• Providers in Spokane, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.