Haven Hospice Tucson, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HAVEN HOSPICE TUCSON, LLC

Doing business as

Haven Hospice

Practice address

5656 E Grant Rd Ste 170B
Tucson, AZ 85712-2259

Phone

(520) 363-2585

NPI assigned

Jun 24, 2019

Last updated

Dec 12, 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

Kristi Jackson

Title

Director of Clinical Services

Phone

(941) 257-4285

Specialties & licenses 1

Addresses

Other names 1

• Haven Hospice Doing business as

Locations

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1457912271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 E GRANT RD STE 170B",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122259",
            "telephone_number": "520-363-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOSPICE TUCSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
        "authorized_official_telephone_number": "941-257-4285"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Beth Hauschildt, D.D.S.
• Valerie Hause, PHARMD
• Dean M Hauseman, D.M.D
• Denise Christina Hausler, LPC
• Susan Lee Hausser, M.D.
• Haven of Saguaro Valley, LLC (Haven of Saguaro Valley)
• Haven of Tucson, LLC
• Haven Sendero de Sonora
• Haven Sendero de Sonora, Inc. (Sendero de Sonora)
• Haven Springs at Tanque Verde LLC

• Community Based Hospice Care Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Community Based Hospice Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.