NPIMap

Organization Active NPI

Haven Home Health, Inc.

  • Home Health Agency
  • Columbia, LA
National Provider Identifier
1689659484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
262 Issued in LA
Legal business name
HAVEN HOME HEALTH, INC.
Practice address
7726 Highway 165
Columbia, LA 71418-3322
Phone
(318) 649-9840
Fax
(318) 649-9849
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Avery Brian Causey
Title
President
Phone
(318) 649-9840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 262 LA Primary

Addresses

Primary practice location

7726 Highway 165
Columbia, LA 71418-3322

Mailing address

7726 Highway 165
Columbia, LA 71418-3322
Phone (318) 649-9840

Other identifiers 1

IdentifierTypeStateIssuer
1402028MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100608000354 LA Part A Provider - Home Health Agency 6204966872 Practice locations: Monroe, LA; Urania, LA; Columbia, LA

Home health agency certification: CCN 197210

Legal name
HAVEN HOME HEALTH, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 1987
Last certification
May 20, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 5, 1985 in LA
Enrollment address
4404 Old Sterlington Rd
Ste 106 & Ste 108
Monroe, LA 71203-2451
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Haven Home Health IncCCN 197210
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 18, 1987
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

4404 Old Sterlington Rd
Ste 106
Monroe, LA 71203
Phone (318) 324-8632

401 Hall St
Ste B
Monroe, LA 71201
Phone (318) 324-8632

4327 Sterlington Rd
Ste B
Monroe, LA 71203
Phone (318) 324-8632

4404 Old Sterlington Rd
Ste 108
Monroe, LA 71203

103 W Boundary Ave
Ste 128
Winnfield, LA 71483
Phone (318) 628-5086

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Avery Causey Individual 5% Or Greater Direct Ownership Interest Mar 18, 1987 100%
Wende Bruce Individual Operational/Managerial ControlAdministrator Sep 1, 2015 49%

Practitioners & affiliated clinicians

Affiliated clinicians 35

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689659484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183322",
            "telephone_number": "318-649-9840",
            "fax_number": "318-649-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 HIGHWAY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183322",
            "telephone_number": "318-649-9840",
            "fax_number": "318-649-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAUSEY",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-649-9840"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "LA",
            "license": "262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1402028",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.