Organization Active NPI

Haven Home Support LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1720804396
Registry record updated Dec 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAVEN HOME SUPPORT LLC
Practice address
1251 W Broad St RM 110
Columbus, OH 43222-1359
Phone
(614) 929-1028
NPI assigned
Nov 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2024

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

Authorized official

Name
Mustafa Abdurahman MeadNPI 1801579073
Title
President
Phone
(614) 929-1028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1251 W Broad St RM 110
Columbus, OH 43222-1359

Mailing address

1251 W Broad St RM 110
Columbus, OH 43222-1359
Phone (614) 929-1028

National Provider Directory

National Provider Directory

Locations

1251 W Broad St
Rm 110
Columbus, OH 43222
Phone (614) 929-1028

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734220800000",
    "number": "1720804396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 W BROAD ST RM 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221359",
            "telephone_number": "614-929-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 W BROAD ST RM 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221359",
            "telephone_number": "614-929-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-12-15",
        "certification_date": "2024-12-15",
        "status": "A",
        "authorized_official_last_name": "MEAD",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "ABDURAHMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-929-1028"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2024; 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.