NPIMap

Organization Active NPI

Haven Chemical Health Systems, LLC

  • Addiction (Substance Use Disorder) Counselor
  • St Paul Park, MN
National Provider Identifier
1801959499
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1011741-1-CDT Issued in MN
Legal business name
HAVEN CHEMICAL HEALTH SYSTEMS, LLC
Practice address
950 9TH Ave
St Paul Park, MN 55071-1436
Phone
(651) 734-9633
Fax
(651) 734-9533
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Authorized official

Name
Robert Leonard Haven
Title
Owner/President
Phone
(651) 734-9633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1011741-1-CDT MN Primary

Addresses

Primary practice location

950 9TH Ave
St Paul Park, MN 55071-1436

Mailing address

950 9TH Ave
St Paul Park, MN 55071-1436
Phone (651) 734-9633

Other names 1

  • Janet's Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Chemical Health Systems LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

950 9th Ave
St Paul Park, MN 55071
Phone (651) 290-6814

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1801959499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 9TH AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711436",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 9TH AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711436",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CHEMICAL HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HAVEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "651-734-9633"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1011741-1-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Janet's Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Paul Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.