Haven Health Center of Farmington, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2269 Issued in CT

Legal business name

HAVEN HEALTH CENTER OF FARMINGTON, LLC

Practice address

416 Colt Hwy
Farmington, CT 06032-2534

Phone

(860) 677-1671

Fax

(860) 676-1116

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1497742597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322534",
            "telephone_number": "860-677-1671",
            "fax_number": "860-676-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 COLT HWY",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322534",
            "telephone_number": "860-677-1671",
            "fax_number": "860-676-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF FARMINGTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hartford Orthopaedic Plastic & Hand Surgeons Inc.
• Mira Hasan, MD
• Maryam Hashmi, MD
• Elizabeth Marie Haskell, AGACNP-BC
• Elizabeth Hassan, APRN
• Nicholas Hawkes, MD
• Benjamin Charles Hawthorne, MD
• Angela Hay
• Gail A Hayes, CRNA
• Monica He

• Skilled Nursing Facility in Farmington, CT
• Providers in Farmington, CT by specialty
• Skilled Nursing Facility in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.