NPIMap

Organization Active NPI

Haven Group Home #2

  • Assisted Living Facility (Mental Illness)
  • Durham, NC
National Provider Identifier
1730305277
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
MHL-032-408 Issued in NC
Legal business name
HAVEN GROUP HOME #2
Practice address
714 Arnette Ave
Durham, NC 27701-3105
Phone
(919) 425-0974
Fax
(336) 375-0046
NPI assigned
Apr 17, 2007
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
Ms. Yvonne O Pinder
Title
Executive Operating Officer
Phone
(336) 375-1078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X MHL-032-408 NC Primary

Addresses

Primary practice location

714 Arnette Ave
Durham, NC 27701-3105

Mailing address

3207 N Ohenry Blvd
Greensboro, NC 27405-3807
Phone (336) 375-1078

National Provider Directory

National Provider Directory
Tax ID family
Haven Group Homes3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730305277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 N OHENRY BLVD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053807",
            "telephone_number": "336-375-1078",
            "fax_number": "336-375-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 ARNETTE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013105",
            "telephone_number": "919-425-0974",
            "fax_number": "336-375-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN GROUP HOME #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINDER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "EXECUTIVE OPERATING OFFICER",
        "authorized_official_telephone_number": "336-375-1078",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL-032-408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.