NPIMap

Organization Active NPI

Haven of Saguaro Valley, LLC

  • Skilled Nursing Facility
  • Tucson, AZ
National Provider Identifier
1346805249
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAVEN OF SAGUARO VALLEY, LLC
Practice address
6651 E Carondelet Dr
Tucson, AZ 85710-2118
Phone
(520) 296-6100
NPI assigned
May 6, 2019
Organization subpart
Yes
Parent organization
HAVEN HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Brett Robertson
Title
Ceo
Phone
(480) 935-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6651 E Carondelet Dr
Tucson, AZ 85710-2118

Mailing address

6651 E Carondelet Dr
Tucson, AZ 85710-2118

Other identifiers 1

IdentifierTypeStateIssuer
183199MedicaidAZ

Other names 1

  • Haven of Saguaro Valley Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190717000317 AZ Part A Provider - Skilled Nursing Facility 3779818588 Practice locations: Tucson, AZ

Skilled nursing facility certification: CCN 035085

Legal name
HAVEN OF SAGUARO VALLEY LLC
Doing business as
HEALTH GROUP MANAGEMENT
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Feb 24, 1983
Last certification
Apr 13, 2023
Beds
112
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
6651 E Carondelet Dr
Tucson, AZ 85710-2118
Nursing home name
HAVEN OF SAGUARO VALLEY
Affiliated entity
HAVEN HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Haven of Saguaro ValleyCCN 035085
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 24, 1983
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11298.1 residents per day on average
Chain
Haven Health20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2189423Haven of Saguaro Valley6651 E Carondelet Dr, Tucson, AZ 85710Certificate of waiverJul 29, 2028

National Provider Directory

National Provider Directory
Part of
Haven Health Group LLC

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christian R West Individual 5% Or Greater Indirect Ownership InterestMember Jul 1, 2019 6.4%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 6.4%
Haven Health Properties LLC Organization, Laguna Beach, CA Created for acquisition 5% Or Greater Mortgage Interest Jul 1, 2019 100%
Adp of the SNF Nov 26, 2024
Stephen Samuelian Individual 5% Or Greater Indirect Ownership InterestMember/Manager Jul 1, 2019 36.73%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 36.73%
Haven Saguaro Valley Real Estate LLC Organization, Laguna Beach, CA Created for acquisition, Owned by another organization or individual 5% Or Greater Mortgage Interest Jul 1, 2019 100%
Adp of the SNF Nov 26, 2024
Robert Samuelian Individual 5% Or Greater Indirect Ownership InterestMember/Manager Jul 1, 2019 20.13%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 20.13%
Spencer R Samuelian Individual 5% Or Greater Indirect Ownership InterestMember/Manager Jul 1, 2019 25.21%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 25.21%
Stephanie Espinosa Individual Operational/Managerial Control Oct 14, 2024
Adp of the SNF Oct 14, 2024
Cole Evans Individual Operational/Managerial Control Feb 10, 2025
Adp of the SNF Feb 10, 2025
Mark Muir Individual Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Tshegofatso Zikhale Individual Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Jason J Seastrand Individual Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 3.92%
Lindsay Fragoso Individual Operational/Managerial Control May 10, 2021
Adp of the SNF May 10, 2021
Brett P Robertson Individual 5% Or Greater Indirect Ownership InterestMember/Manager Jul 1, 2019 7.61%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Indirect Ownership Interest Jul 1, 2019 7.61%
Haven Health Group LLC Organization, Laguna Beach, CA LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 100%
Bijay Sanjeev Individual Operational/Managerial Control Jun 1, 2023
Adp of the SNF Jun 1, 2023
Health Group Management LLC Organization, Laguna Beach, CA Management services company Operational/Managerial Control Nov 21, 2024
Adp of the SNF Nov 21, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1346805249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102118",
            "telephone_number": "520-296-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF SAGUARO VALLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN HEALTH GROUP LLC",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-935-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183199",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Haven of Saguaro Valley",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven of Saguaro Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.