NPIMap

Organization Active NPI

Haven Eeoi Holdings, LLC

Doing business as Haven Specialty Home Care

  • Home Health Agency
  • Farmington, NM
National Provider Identifier
1790530368
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAVEN EEOI HOLDINGS, LLC
Doing business as
Haven Specialty Home Care
Practice address
1510 E 20TH St
Farmington, NM 87401-9033
Phone
(575) 635-3318
NPI assigned
Apr 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Authorized official

Name
Julie Gojkovich
Title
Compliance Manager
Phone
(575) 635-3318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1510 E 20TH St
Farmington, NM 87401-9033

Mailing address

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Phone (866) 554-2836

Other names 1

  • Haven Specialty Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Eeoi Holdings LLC17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1790530368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "866-554-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019033",
            "telephone_number": "575-635-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN EEOI HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "GOJKOVICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "COMPLIANCE MANAGER",
        "authorized_official_telephone_number": "575-635-3318"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Specialty Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.