Organization Active NPI

Haven Home Physicians, PC

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1629444690
Registry record updated Mar 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HAVEN HOME PHYSICIANS, PC
Practice address
15551 N Greenway Hayden Loop Ste 155
Scottsdale, AZ 85260-1225
Phone
(734) 560-8953
Fax
(888) 491-8760
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2021

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

Authorized official

Name
Matthew Saagman
Title
Owner
Phone
(734) 560-8953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

15551 N Greenway Hayden Loop Ste 155
Scottsdale, AZ 85260-1225

Mailing address

11373 Willow Wood LN
Plymouth, MI 48170-3593
Phone (734) 560-8953

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616284800000",
    "number": "1629444690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 WILLOW WOOD LN",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703593",
            "telephone_number": "734-560-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15551 N GREENWAY HAYDEN LOOP STE 155",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601225",
            "telephone_number": "734-560-8953",
            "fax_number": "888-491-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A",
        "authorized_official_last_name": "SAAGMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-560-8953"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.