Haven Group Homes

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

MHL041790 Issued in NC

Legal business name

HAVEN GROUP HOMES

Practice address

3207 O' Henry Blvd N
Greensboro, NC 27405-3807

Phone

(336) 375-1078

Fax

(336) 375-0046

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Miss Yvonne Pinder

Title

Executive Director

Phone

(336) 375-1078

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Haven Group Home #2

  • Assisted Living Facility (Mental Illness)
  • Durham, NC
  • NPI 1730305277
  NPD tax ID
• Haven Group Homes

  • Assisted Living Facility (Mental Illness)
  • Greensboro, NC
  • NPI 1023160876
  NPD tax ID

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1760670574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14596",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154596",
            "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": "3207 O' HENRY BLVD N",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053807",
            "telephone_number": "336-375-1078",
            "fax_number": "336-375-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN GROUP HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "PINDER",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-375-1078",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NC",
            "license": "MHL041790",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NC",
            "license": "MHL041790",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805851",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minda Hatley, MA,CCC-SLP
• Nicholas Hattenhauer
• Faith Haughey, SLP
• Holly Elizabeth Haulter, M.A.
• Haven Group Homes
• Haven Health
• Haven of Hearts Inc
• Havenpath Supportive Living LLC
• Christina L Haverstock, MD
• Diane Fuller Hawes, MD

• Assisted Living Facility (Mental Illness) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.