Haven LTH, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN LTH, LLC

Doing business as

Haven Home Health Care

Practice address

16620 E Riverside Dr
Saint Paul, VA 24283-3510

Phone

(575) 635-3318

NPI assigned

Apr 18, 2024

Last updated

Apr 18, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie Gojkovich

Title

Compliance Manager

Phone

(575) 635-3318

Specialties & licenses 1

Addresses

Other names 1

• Haven Home Health Care Doing business as

Tax ID family

Haven Home Health Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Haven LTH, LLC

  dba Haven Home Health Care

  • Home Health Agency
  • Plymouth, MI
  • NPI 1073204434
  NPD tax ID

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1649025206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 PENNIMAN AVE UNIT 6426",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481707722",
            "telephone_number": "888-891-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 E RIVERSIDE DR",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "242833510",
            "telephone_number": "575-635-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN LTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "GOJKOVICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "575-635-3318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michael Lawrence Hamilton, PHARM. D.
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• Home Health Agency in Saint Paul, VA
• Providers in Saint Paul, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.