Haven One-Eighty LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HAVEN ONE-EIGHTY LLC

Practice address

15213 N 143Rd Avenue
8738 W Cholla
Peoria, AZ 85345

Phone

(602) 358-9175

NPI assigned

Aug 7, 2023

Organization subpart

No

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

Authorized official

Name

Analiza De Pedro

Title

Member

Phone

(602) 358-9175

Specialties & licenses 1

Addresses

Other names 1

• Haven One-Eighty Doing business as

Locations

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1689356776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15213 N 143RD AVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798542",
            "telephone_number": "160-235-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15213 N 143RD AVENUE",
            "address_2": "8738 W CHOLLA",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85345",
            "telephone_number": "602-358-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ONE-EIGHTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "DE PEDRO",
        "authorized_official_first_name": "ANALIZA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-358-9175"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven One-Eighty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.