Haven Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HAVEN HOSPICE LLC

Practice address

4211 28TH Ave NW Ste 111
Norman, OK 73069-8254

Phone

(405) 455-2275

Fax

(405) 455-2255

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Tara Anderson

Title

Director of Billing Management

Phone

(405) 455-2275

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371752

Legal name

HAVEN HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 18, 2026

Last certification

Jan 21, 2026

Organization structure

LLCProprietary

Enrollment address

4211 28TH Ave NW
Ste 111
Norman, OK 73069-8254

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• James B Krablin, MD

  • Internal Medicine Physician
  • Lexington, OK
  • NPI 1679509657

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1417761982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 28TH AVE NW STE 111",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698254",
            "telephone_number": "405-455-2275",
            "fax_number": "405-455-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 28TH AVE NW STE 111",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730698254",
            "telephone_number": "405-455-2275",
            "fax_number": "405-455-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING MANAGEMENT",
        "authorized_official_telephone_number": "405-455-2275"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wallace George Haskett, DDS
• Brittney Haskins, PA-C
• Kayla Rae Hasty, CNA, DDMAT, MAT, HHA
• Lori Hatcher
• Kayley Haulmark
• Gabriel Rolfson Haven, RBT-25-420469
• Katie Nicole Hawkins, APRN-CNP
• Kathryn Haworth
• Amanda Haxel
• Chris Hayes, AAT

• All providers in Norman, OK
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.