Active NPI
Haven on Earth
- In Home Supportive Care Agency
- Lindenhurst, NY
National Provider Identifier
1487494373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Specialist | 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
- Haven&Earth Essence
National Provider Directory
National Provider DirectoryLocations
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.