NPIMap

Organization Active NPI

Haven Detox Ma

Doing business as The Haven New England

  • Mental Illness Community Based Residential Treatment Facility
  • Worcester, MA
National Provider Identifier
1770159105
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HAVEN DETOX MA
Doing business as
The Haven New England
Practice address
1369 Grafton St
Worcester, MA 01604-2737
Phone
(508) 552-3180
NPI assigned
May 27, 2021
Last updated
Nov 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
John Maroney
Title
Manager
Phone
(508) 552-3180

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1369 Grafton St
Worcester, MA 01604-2737

Mailing address

1369 Grafton St
Worcester, MA 01604-2737

Other names 1

  • The Haven New England Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Detox Ma2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1770159105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 GRAFTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016042737",
            "telephone_number": "508-552-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN DETOX MA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "MARONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "508-552-3180"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven New England",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.