Haven Health Center of St Albans, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

027-0000269 Issued in VT

Legal business name

HAVEN HEALTH CENTER OF ST ALBANS, LLC

Practice address

596 Sheldon Rd
St Albans, VT 05478-8011

Phone

(802) 524-6534

Fax

(802) 524-2429

NPI assigned

Dec 1, 2005

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1760466916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 SHELDON RD",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054788011",
            "telephone_number": "802-524-6534",
            "fax_number": "802-524-2429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 SHELDON RD",
            "city": "ST ALBANS",
            "state": "VT",
            "postal_code": "054788011",
            "telephone_number": "802-524-6534",
            "fax_number": "802-524-2429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF ST ALBANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "VT",
            "license": "027-0000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475021",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Masha Harris
• Thomas Harrison I
• Caitlyn Elizabeth Hartshorn
• Francesca Ann Harvey
• Jennifer Hauptman, LICSW
• Carey-Leah Havrilko, DPT
• Matthew Hayes, LADC, MSW
• Luke Daniel Heald, FNP
• Health Integrative PLC
• Healthy Minds: Counseling, Consultation & Education

• All providers in St Albans, VT
• Skilled Nursing Facility in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.