NPIMap

Organization Active NPI

Haven House Services

  • Community/Behavioral Health Agency
  • Raleigh, NC
National Provider Identifier
1770837536
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SL0000906 Issued in NC
Legal business name
HAVEN HOUSE SERVICES
Practice address
600 W Cabarrus St
Raleigh, NC 27603-1953
Phone
(919) 833-3313
Fax
(919) 833-3512
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Michelle Zechmann
Title
Executive Director
Phone
(919) 833-3312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SL0000906 NC Primary

Addresses

Primary practice location

600 W Cabarrus St
Raleigh, NC 27603-1953

Mailing address

600 W Cabarrus St
Raleigh, NC 27603-1953

Other identifiers 1

IdentifierTypeStateIssuer
8301281MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Haven House Inc3 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.

Practitioners & affiliated clinicians

Practitioners 8

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": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1770837536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CABARRUS ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276031953",
            "telephone_number": "919-833-3313",
            "fax_number": "919-833-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "ZECHMANN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-833-3312"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "SL0000906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.