Haven Community Health Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

23723601 Issued in PA

Legal business name

HAVEN COMMUNITY HEALTH SERVICES, LLC

Doing business as

HCHS, LLC

Practice address

11 Carley LN
Coudersport, PA 16915-8304

Phone

(570) 244-7952

NPI assigned

Jan 7, 2013

Last updated

Jan 7, 2013By 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

Mr. Terry M DrakeNPI 1275920456

Title

Executive Director

Phone

(570) 244-7952

Specialties & licenses 1

Addresses

Other names 1

• HCHS, LLC Doing business as

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.

• Terry Drake, LSW

  • Social Worker
  • Wellsboro, PA
  • NPI 1275920456
  Authorized official Same address or phone

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1407193774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CARLEY LN",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158304",
            "telephone_number": "570-244-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CARLEY LN",
            "city": "COUDERSPORT",
            "state": "PA",
            "postal_code": "169158304",
            "telephone_number": "570-244-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN COMMUNITY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-244-7952",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "23723601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HCHS, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianne Gleason, ATC
• Cody William Greene, DPT
• Kamme Guisto, PA-C
• Kara Nicole Gustin, WHNP-BC
• Elise Gutacker, RDH, PHDHP
• HCF of Sweden Valley, Inc. (Sweden Valley Manor)
• Nicholas Heiser, DO
• Andrea Wilson Heller, D.O.
• Makayla Brooke Hockenbrock, MS, OTR/L
• Cassidy Hoover, MOTR/L

• In Home Supportive Care Agency in Coudersport, PA
• Providers in Coudersport, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.