NPIMap

Organization Active NPI

Haven Recovery Homes

  • Substance Abuse Rehabilitation Facility
  • Saint Louis, MO
National Provider Identifier
1639723463
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HAVEN RECOVERY HOMES
Practice address
3649 Meramec St
Saint Louis, MO 63116-4411
Phone
(314) 930-9384
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Callan Montgomery, MPH
Title
Ceo
Phone
(314) 930-9384

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3649 Meramec St
Saint Louis, MO 63116-4411

Mailing address

35 San Marino Pkwy
Fenton, MO 63026-7513

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address callan@havenrecoverystl.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1639723463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SAN MARINO PKWY",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 MERAMEC ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631164411",
            "telephone_number": "314-930-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN RECOVERY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "CALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-930-9384",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "callan@havenrecoverystl.com",
            "affiliation": "N",
            "address_1": "3929 Michigan Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631184324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.