NPIMap

Organization Active NPI

Haven Chemical Health Systems, LLC

Doing business as The Haven in Cloquet

  • Addiction (Substance Use Disorder) Counselor
  • Cloquet, MN
National Provider Identifier
1477616068
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1027938-2-CDT Issued in MN
Legal business name
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Doing business as
The Haven in Cloquet
Practice address
1003 Cloquet Ave
Suite 117
Cloquet, MN 55720-1694
Phone
(218) 879-5545
Fax
(218) 879-5001
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Haven
Title
President
Phone
(651) 734-9633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1027938-2-CDT MN Primary

Addresses

Primary practice location

1003 Cloquet Ave
Suite 117
Cloquet, MN 55720-1694

Mailing address

2042 Wooddale Dr
Suite 220
Woodbury, MN 55125-2981
Phone (651) 734-9633

Other names 1

  • The Haven in Cloquet Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Chemical Health Systems LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477616068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR",
            "address_2": "SUITE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252981",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 CLOQUET AVE",
            "address_2": "SUITE 117",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201694",
            "telephone_number": "218-879-5545",
            "fax_number": "218-879-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CHEMICAL HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-734-9633"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1027938-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven in Cloquet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.