Healing Haven Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HEALING HAVEN HOMES LLC

Practice address

1344 Grand Teton Dr
Desoto, TX 75115-2939

Phone

(469) 397-0778

Fax

(469) 397-0779

NPI assigned

Sep 14, 2022

Last updated

Sep 14, 2022By 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

Mabel Nikoi, LNFA

Title

Owner/Administrator

Phone

(703) 554-7829

Specialties & licenses 1

Addresses

Other names 1

• Healing Haven Homes Former legal business name

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Healing Haven Homes at Mesquite LLC

  • Assisted Living Facility
  • Mesquite, TX
  • NPI 1164271284
  NPPES parent name

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1447972625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 GRAND TETON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152939",
            "telephone_number": "469-397-0778",
            "fax_number": "469-397-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 GRAND TETON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152939",
            "telephone_number": "469-397-0778",
            "fax_number": "469-397-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HAVEN HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "NIKOI",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "703-554-7829",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Haven Homes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Health Care Services Network, LLC
• Healthfirst Pharmacy PLLC (HealthFirst Pharmacy)
• Healthier Her LLC

• Assisted Living Facility in Desoto, TX
• Providers in Desoto, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.