Unicorn Haven LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

UNICORN HAVEN LLC

Practice address

1445 E Guadalupe Rd Ste 109
Tempe, AZ 85283-3953

Phone

(602) 909-3223

NPI assigned

Feb 27, 2019

Organization subpart

No

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

Authorized official

Name

Barbora Hladek

Title

Ceo

Phone

(602) 909-3223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1467919399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 E GUADALUPE RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833953",
            "telephone_number": "602-909-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 E GUADALUPE RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833953",
            "telephone_number": "602-909-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNICORN HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "HLADEK",
        "authorized_official_first_name": "BARBORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-909-3223"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "465505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child Intellectual and/or Developmental Disabilities Respite Care in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.