NPIMap

Organization Active NPI

Prosperity Haven, LLC

  • Substance Abuse Rehabilitation Facility
  • Chardon, OH
National Provider Identifier
1538774393
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PROSPERITY HAVEN, LLC
Practice address
9600 Old State Rd
Chardon, OH 44024-9260
Phone
(440) 285-2762
NPI assigned
Sep 9, 2020
Organization subpart
Yes
Parent organization
PROSPERITY HAVEN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Meir Kasnett
Title
Owner
Phone
(216) 372-6643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

9600 Old State Rd
Chardon, OH 44024-9260

Mailing address

9600 Old State Rd
Chardon, OH 44024-9260
Phone (440) 285-2762

Other identifiers 1

IdentifierTypeStateIssuer
0312566MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Prosperity Haven LLC2 organizations share this tax ID, including this one
Part of
Prosperity Haven LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1538774393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 OLD STATE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249260",
            "telephone_number": "440-285-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 OLD STATE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249260",
            "telephone_number": "440-285-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPERITY HAVEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROSPERITY HAVEN, LLC",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A",
        "authorized_official_last_name": "KASNETT",
        "authorized_official_first_name": "MEIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-372-6643"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0312566",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chardon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.