Organization Active NPI

Haven on Earth

  • In Home Supportive Care Agency
  • Lindenhurst, NY
National Provider Identifier
1487494373
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAVEN ON EARTH
Practice address
122 S 4TH St
Lindenhurst, NY 11757-4725
Phone
(561) 577-2116
NPI assigned
May 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Norda L Barnes
Title
Ceo
Phone
(561) 577-2116

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X
In Home Supportive Care Agency 253Z00000X Primary
Adult Care Home Facility 311ZA0620X
Private Vehicle 347C00000X
Home Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH0200X

Addresses

Primary practice location

122 S 4TH St
Lindenhurst, NY 11757-4725

Mailing address

65 E Hoffman Ave Unit 121
Lindenhurst, NY 11757-8005
Phone (561) 577-2116

Other names 2

  • Haven on Earth Doing business as
  • Haven&Earth Essence Doing business as

National Provider Directory

National Provider Directory

Locations

65 E Hoffman Ave
Unit 121
Lindenhurst, NY 11757

NPI Registry JSON

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1487494373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E HOFFMAN AVE UNIT 121",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117578005",
            "telephone_number": "561-577-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S 4TH ST",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574725",
            "telephone_number": "561-577-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ON EARTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "NORDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-577-2116"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven on Earth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven&Earth Essence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindenhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.