Organization Active NPI

Hands on Haven Inc.

  • Child Mental Illness Respite Care
  • Fort Wayne, IN
National Provider Identifier
1760192892
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
Legal business name
HANDS ON HAVEN INC.
Practice address
4144 Woodhill Dr
Fort Wayne, IN 46804-2976
Phone
(260) 432-0183
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Authorized official

Name
Mrs. Regenia Jones, BANPI 1326118670
Title
Ceo
Phone
(260) 804-3908

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Child Mental Illness Respite Care 385HR2055X Primary

Addresses

Primary practice location

4144 Woodhill Dr
Fort Wayne, IN 46804-2976

Mailing address

9517 Stowaway CV
Fort Wayne, IN 46835-9615
Phone (260) 804-3908

Other names 1

  • Hands On Haven Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL hosoindy@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1760192892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 STOWAWAY CV",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359615",
            "telephone_number": "260-804-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 WOODHILL DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042976",
            "telephone_number": "260-432-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS ON HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "REGENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "260-804-3908",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "hosoindy@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xls",
            "address_1": "4144 Woodhill Dr",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468042976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hands On Haven Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.