Sweet Haven LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SWEET HAVEN LLC

Practice address

1525 W Pepper PL
Mesa, AZ 85201-7011

Phone

(480) 200-9183

NPI assigned

Nov 23, 2020

Organization subpart

No

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

Authorized official

Name

Shani Shiqow

Title

Ceo

Phone

(480) 200-9183

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1548864440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 W RAY RD SUITE 201",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85226",
            "telephone_number": "480-200-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 W PEPPER PL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852017011",
            "telephone_number": "480-200-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "SHIQOW",
        "authorized_official_first_name": "SHANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-200-9183"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DEVELOPMENTAL DISABILITY",
            "identifier": "Q14206",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saida.mohamed@serenityresidentials.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1525 W Pepper Pl",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852017011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jay V Swanson, M.D.
• Kathleen Swartz, M.S. CF-SLP
• Richard James Swartz, D.C.
• Areena Swarup, MD
• Lillian L Swatek, RD
• Clifford Samuel Sweet
• Tayley Sweet, PT, DPT
• Michael Sweetman, LAC
• Carol Schmidt Swegle, M.D.
• Amanda Sweig-Green, PT, DPT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.