Organization Active NPI

Harbor & Haven Home Care, LLC

  • In Home Supportive Care Agency
  • Fredericksburg, VA
National Provider Identifier
1710899638
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 17, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.