Haven Health Green Valley LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVEN HEALTH GREEN VALLEY LLC

Practice address

150 N la Canada Dr
Green Valley, AZ 85614-3129

Phone

(520) 625-0178

NPI assigned

Mar 30, 2022

Organization subpart

No

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

Authorized official

Name

Brett P Robertson

Title

Ceo

Phone

(480) 935-4300

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Skilled nursing facility certification: CCN 035073

Legal name

HAVEN HEALTH GREEN VALLEY LLC

Doing business as

HAVEN HEALTH GREEN VALLEY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1981

Last certification

May 23, 2024

Beds

111

Ownership / control type

Limited Liability Corporation

Multi-facility organization

he Haven Health Management network

Organization structure

LLCProprietary

Incorporated

Feb 25, 2022 in AZ

Enrollment address

150 N la Canada Dr
Green Valley, AZ 85614-3129

Nursing home name

HAVEN HEALTH GREEN VALLEY, LLC

Affiliated entity

HAVEN HEALTH

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Virag Yogesh Shah, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1700834140

  Adp of the SNF, Contracted Managing Employee, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Haven Health Prescott LLC

  • Skilled Nursing Facility
  • Prescott, AZ
  • NPI 1588304299

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven Health Sky Harbor LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1780381558

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Camp Verde, LLC

  • Skilled Nursing Facility
  • Camp Verde, AZ
  • NPI 1104163435

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Cottonwood, LLC

  • Skilled Nursing Facility
  • Cottonwood, AZ
  • NPI 1679810915

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Douglas, LLC

  • Skilled Nursing Facility
  • Douglas, AZ
  • NPI 1073850319

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Flagstaff, LLC

  • Skilled Nursing Facility
  • Flagstaff, AZ
  • NPI 1588901839

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Globe, LLC

  • Skilled Nursing Facility
  • Globe, AZ
  • NPI 1467868075

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Lake Havasu, LLC

  • Skilled Nursing Facility
  • Lake Havasu City, AZ
  • NPI 1366978603

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Lakeside, LLC

  • Skilled Nursing Facility
  • Lakeside, AZ
  • NPI 1447657994

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Phoenix, LLC

  • Skilled Nursing Facility
  • Phoenix, AZ
  • NPI 1215383237

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Safford, LLC

  • Skilled Nursing Facility
  • Safford, AZ
  • NPI 1568709814

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership
• Haven of Saguaro Valley, LLC

  • Skilled Nursing Facility
  • Tucson, AZ
  • NPI 1346805249

  Haven Health Group LLC, Health Group Management LLC

  CMS ownership

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

• Mosab Abdulbaset Frefer, MD

  • Internal Medicine Physician
  • Tucson, AZ
  • NPI 1659800977
  NPD (past)
• Valerie Matthew, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1770894842
  NPD (past)
• Virag Yogesh Shah, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1700834140
  NPD (past)

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Rosemary Siobhan Browne, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Tucson, AZ
  • NPI 1508808502

  Nursing home

  Care Compare affiliation
• Valerie Matthew, MD

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1770894842

  Nursing home

  Care Compare affiliation
• Virag Yogesh Shah, M.D.

  • Family Medicine Physician
  • Cary, NC
  • NPI 1700834140

  Nursing home

  Care Compare affiliation

Listed as

Haven Health Green Valley, LLCCCN 035073

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1981

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

111102.3 residents per day on average

Chain

Haven Health20 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1730829441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143129",
            "telephone_number": "520-625-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N LA CANADA DR",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856143129",
            "telephone_number": "520-625-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH GREEN VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-935-4300"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730829441",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Tennessee Hardy, D.O.
• Harmony Palliative Care, LLC
• Thomas J Hausam, MD
• Haven Arizona Operating Subsidiary, LLC
• Haven Arizona, LLC
• Haven Springs at Green Valley LLC
• Healthquest of Green Valley LLC
• Tia Heng, MD
• Madaline Elyse Hoffman, PT, DPT
• Clare Hofford

• All providers in Green Valley, AZ
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.