Rest Haven LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

REST HAVEN LLC

Practice address

1005 Bland St
Norfolk, VA 23513-3386

Phone

(757) 351-6981

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Brian Sterling Hawkins, MSWNPI 1083010508

Title

Direct/Owner

Phone

(757) 572-7206

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian S Hawkins, M.S.W

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Norfolk, VA
  • NPI 1083010508
  NPD (past) Authorized official

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1679905269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BLAND STREET",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23513",
            "telephone_number": "757-351-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BLAND ST",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235133386",
            "telephone_number": "757-351-6981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REST HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STERLING",
        "authorized_official_title_or_position": "DIRECT/OWNER",
        "authorized_official_telephone_number": "757-572-7206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Norfolk, VA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.