Haven of Hope Eating Disorder Care Center LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HAVEN OF HOPE EATING DISORDER CARE CENTER LLC

Practice address

890 N Houston Levee Rd
Cordova, TN 38018-6614

Phone

(732) 887-7136

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Eli Fisch

Title

Principal

Phone

(732) 887-7136

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1619716768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CROSS ST STE 203",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015572",
            "telephone_number": "732-887-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N HOUSTON LEVEE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186614",
            "telephone_number": "732-887-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HOPE EATING DISORDER CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "FISCH",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "732-887-7136"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquia Janai Harris
• Teresa Gail Harris, NP-C, CWS
• Sara Simpson Harvey, M.A. CCC-SLP
• Sandhya Yadavrao Hasure, RBT
• Britney Hattamer, DC, MS
• Kiersten A Hawes
• Keyana Hawkins
• Jasmine Hayes
• Jenny Anne Hayes, M.S.
• Nykiea Octavia Hayes, DNP

• Mental Illness Community Based Residential Treatment Facility in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Illness Community Based Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.