Active NPI
Harbor & Haven Home Care, LLC
- In Home Supportive Care Agency
- Fredericksburg, VA
National Provider Identifier
1710899638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- HARBOR & HAVEN HOME CARE, LLC
- Practice address
- 125 Poplar Manor Ave
Fredericksburg, VA 22406-4158 - Phone
- (202) 834-7910
- NPI assigned
- Sep 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lakeisha T Bradshaw-McIntosh
- Title
- Managing Member
- Phone
- (202) 834-7910
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
125 Poplar Manor Ave
Fredericksburg, VA 22406-4158
Mailing address
1520 Belle View Blvd
PMB 5517
Alexandria, VA 22307-6530
Phone (202) 834-7910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789603200000",
"number": "1710899638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 BELLE VIEW BLVD",
"address_2": "PMB 5517",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223076530",
"telephone_number": "202-834-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 POPLAR MANOR AVE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224064158",
"telephone_number": "202-834-7910"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR & HAVEN HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-17",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A",
"authorized_official_last_name": "BRADSHAW-MCINTOSH",
"authorized_official_first_name": "LAKEISHA",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "202-834-7910"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.