NPIMap

Organization Active NPI

Haven of Globe, LLC

  • Skilled Nursing Facility
  • Globe, AZ
National Provider Identifier
1467868075
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAVEN OF GLOBE, LLC
Practice address
1100 E Monroe St
Globe, AZ 85501-1363
Phone
(801) 296-5100
NPI assigned
Jul 2, 2014
Last updated
May 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HAVEN HEALTH GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Brett Robertson
Title
Ceo
Phone
(480) 935-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1100 E Monroe St
Globe, AZ 85501-1363

Mailing address

1100 E. Monroe Street
Globe, AZ 85501
Phone (801) 296-5100

Other identifiers 1

IdentifierTypeStateIssuer
011678MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150217001607 AZ Part A Provider - Skilled Nursing Facility 5991020851 Practice locations: Globe, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467868075. Details of each certification follow.

Skilled nursing facility certification: CCN 035233

Legal name
HAVEN OF GLOBE LLC
Doing business as
HAVEN HEALTH GROUP
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 23, 1996
Last certification
Feb 4, 2025
Beds
104
Ownership / control type
Corporation
Multi-facility organization
Haven Health Group
Organization structure
LLCProprietary
Incorporated
Sep 17, 2014 in AZ
Enrollment address
1100 Monroe Street
Globe, AZ 85501-1363
Nursing home name
HAVEN OF GLOBE
Affiliated entity
HAVEN HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Haven of GlobeCCN 035233 · All quality measures
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 23, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10477.6 residents per day on average
Chain
Haven Health20 facilities in the chain
Abuse citation
Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0057684Haven Health of Globe1100 E Monroe St, Globe, AZ 85501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Haven Health Group LLC

Locations

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Christian R West Individual 5% Or Greater Indirect Ownership InterestManager Mar 10, 2015 6.4%
Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Mar 10, 2015 6.4%
Shu Ting Kung Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Skie Mora Individual Operational/Managerial Control Nov 11, 2024
Adp of the SNF Nov 11, 2024
Stephen Samuelian Individual 5% Or Greater Indirect Ownership InterestManager Mar 10, 2015 36.73%
Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Mar 10, 2015 36.73%
Robert Samuelian Individual 5% Or Greater Indirect Ownership InterestManager Mar 10, 2015 20.13%
Operational/Managerial Control Mar 10, 2015
Adp of the SNF Mar 10, 2015
Indirect Ownership Interest Mar 10, 2015 20.13%
Spencer R Samuelian Individual 5% Or Greater Indirect Ownership InterestManager Mar 10, 2015 25.21%
Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Mar 10, 2015 25.21%
Stephanie Espinosa Individual Corporate OfficerChief Nursing Officer Oct 14, 2024
Operational/Managerial Control Jan 8, 2025
Adp of the SNF Jan 8, 2025
Mark Muir Individual Operational/Managerial Control Feb 15, 2015
Adp of the SNF Feb 15, 2015
Globe-Yuma Real Estate Partners Organization, Laguna Beach, CA Created for acquisition 5% Or Greater Mortgage Interest Nov 1, 2014 100%
Adp of the SNF Nov 1, 2014
Haven Globe Real Estate LLC Organization, Laguna Beach, CA Created for acquisition, Owned by another organization or individual 5% Or Greater Mortgage Interest Nov 1, 2014 100%
Adp of the SNF Nov 1, 2014
Jason J Seastrand Individual Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Mar 10, 2015 3.92%
Lindsay Fragoso Individual Corporate OfficerGeneral Council May 10, 2021
Operational/Managerial Control May 10, 2021
Adp of the SNF May 10, 2021
Brett P Robertson Individual 5% Or Greater Indirect Ownership InterestCeo/President Mar 10, 2015 7.61%
Operational/Managerial Control Nov 1, 2014
Adp of the SNF Nov 1, 2014
Indirect Ownership Interest Mar 10, 2015 7.61%
Haven Health Group LLC Organization, Laguna Beach, CA LLC, For-profit 5% Or Greater Direct Ownership Interest Mar 10, 2015 100%
Health Group Management LLC Organization, Laguna Beach, CA Management services company Operational/Managerial Control Feb 1, 2017
Adp of the SNF Jan 30, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1467868075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E. MONROE STREET",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "801-296-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E MONROE ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011363",
            "telephone_number": "801-296-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF GLOBE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN HEALTH GROUP LLC",
        "enumeration_date": "2014-07-02",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-935-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011678",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

Verify at the official NPI Registry.