Haven at Home LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN AT HOME LLC

Practice address

720 Teson Road
Hazelwood, MO 63042-3334

Phone

(314) 441-1875

NPI assigned

May 17, 2021

Organization subpart

No

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

Authorized official

Name

Maryann Partee

Title

Ceo/Manager

Phone

(314) 441-1875

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1528632395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 TESON ROAD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423334",
            "telephone_number": "314-441-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 TESON ROAD",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630423334",
            "telephone_number": "314-441-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "PARTEE",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "314-441-1875"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.