Raviko Group LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RAVIKO GROUP LLC

Doing business as

Dove's Haven

Practice address

351 Myrtle St
Cliffwood, NJ 07721-1215

Phone

(732) 441-1800

Fax

(732) 441-1808

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Arlene Isidro

Title

Ceo

Phone

(908) 623-3026

Specialties & licenses 1

Addresses

Other names 1

• Dove's Haven Doing business as

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1699233973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MYRTLE ST",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211215",
            "telephone_number": "732-441-1800",
            "fax_number": "732-441-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MYRTLE ST",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211215",
            "telephone_number": "732-441-1800",
            "fax_number": "732-441-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVIKO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "ISIDRO",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-623-3026"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove's Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryanne Onitolo
• Ekta Patel
• Daniel Scott Pincus
• Preferred Care Center
• Katie P Ratliff, RN
• Irene M Reel Rodriguez, RN
• Justin Rosenblum, COUNSELOR INTERN
• Elizabeth Mary Roslak, LPN
• Michael Douglas Rosta, PHARMACIST
• Deanna Rotella

• Mental Illness Community Based Residential Treatment Facility in Cliffwood, NJ
• Providers in Cliffwood, NJ by specialty
• Mental Illness Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.