Haven of Camp Verde Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HAVEN OF CAMP VERDE ALF, LLC

Practice address

86 W Salt Mine Rd
Camp Verde, AZ 86322-7013

Phone

(928) 567-5253

NPI assigned

Apr 27, 2016

Last updated

Apr 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

HAVEN HEALTH GROUP ARIZONA, LLCAs reported in NPPES

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

Authorized official

Name

Brett P Robertson

Title

President

Phone

(801) 296-5100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1538514583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 W SALT MINE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 W SALT MINE RD",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227013",
            "telephone_number": "928-567-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF CAMP VERDE ALF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN HEALTH GROUP ARIZONA, LLC",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-296-5100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Dentistry PLLC
• Haleh Bazargan DDS PLLC
• Rachel K Hansen, CNP
• Leila Hardy, PA-C
• Karin M. Hauenstein
• Haven of Camp Verde, LLC
• Marilynn Henry, PTA
• Michael Thomas Hughes, DDS
• Jorge D Huston, O.D.
• Infinia at Camp Verde

• Assisted Living Facility in Camp Verde, AZ
• Providers in Camp Verde, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.