Kiya'S Haven Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

139938 Issued in TX

Legal business name

KIYA'S HAVEN ASSISTED LIVING HOME

Practice address

1611 Windchime Dr
Dallas, TX 75224-4816

Phone

(214) 467-4933

Fax

(214) 467-4933

NPI assigned

Aug 15, 2014

Organization subpart

No

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

Authorized official

Name

Deidra Lynnette Whyete-Babers

Title

Director

Phone

(214) 467-4933

Specialties & licenses 1

Addresses

Other names 1

• KIYA'S & KETHAN'S HAVEN ASSISTED LIVING HOME Other name

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1457750358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WINDCHIME DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244816",
            "telephone_number": "214-467-4933",
            "fax_number": "214-467-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WINDCHIME DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244816",
            "telephone_number": "214-467-4933",
            "fax_number": "214-467-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIYA'S HAVEN ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "WHYETE-BABERS",
        "authorized_official_first_name": "DEIDRA",
        "authorized_official_middle_name": "LYNNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-467-4933"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "139938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KIYA'S & KETHAN'S HAVEN ASSISTED LIVING HOME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Kitten, CCP
• Elyse Jill Kitterman, LPC, CSAT
• Kurt J Kitziger, M.D.
• Pouriska Kivanany
• Christine Kivnani
• Kelsey Kjer, PT, DPT
• Thea Klaas, PA-C
• Callie Klaerner, MD
• Klair Medicose PLLC
• Merrine Klakeel, D.O.

• Assisted Living Facility in Dallas, TX
• Providers in Dallas, 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 Aug 15, 2014; 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.