Haven Health Center of West Hartford, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2259 Issued in CT

Legal business name

HAVEN HEALTH CENTER OF WEST HARTFORD, LLC

Practice address

2432 Albany Ave
West Hartford, CT 06117-2503

Phone

(860) 236-3557

Fax

(860) 236-4060

NPI assigned

Sep 26, 2005

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": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1366438236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172503",
            "telephone_number": "860-236-3557",
            "fax_number": "860-236-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172503",
            "telephone_number": "860-236-3557",
            "fax_number": "860-236-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF WEST HARTFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2008-04-20",
        "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": "2259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Norris Hartt Jr., LCSW
• Dana Ashley Harvey, LMSW
• Michelle Marie Haudegand-Gough, OT/L
• Jacqueline Foster Haughton, COTA/L
• Kaylee Renee Havanick, LPC-A
• Terri Haven, MSW
• Traci Hazelton, PT, ATC, CSCS
• Scott C Healer, P.A.
• Healing Hands Home Care Services, LLC
• Healing With Hope, LLC

• Skilled Nursing Facility in West Hartford, CT
• Providers in West Hartford, 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 Apr 20, 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.