Organization Active NPI

Haven Behavioral Services of Dayton, LLC

Doing business as Haven Behavioral Hospital of Dayton

  • Psychiatric Hospital
  • Dayton, OH
National Provider Identifier
1831460229
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
12-5485 Issued in OH
Legal business name
HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC
Doing business as
Haven Behavioral Hospital of Dayton
Practice address
1 Elizabeth PL Ste 10B
Dayton, OH 45417-3445
Phone
(937) 234-0100
Fax
(937) 234-0101
NPI assigned
Jan 18, 2012
Last updated
Mar 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Authorized official

Name
Laura Tarantino
Title
Evp
Phone
(972) 464-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 12-5485 OH Primary

Addresses

Primary practice location

1 Elizabeth PL Ste 10B
Dayton, OH 45417-3445

Mailing address

3102 W End Ave Ste 1000
Nashville, TN 37203-1324

Other identifiers 1

IdentifierTypeStateIssuer
0076465MedicaidOH

Other names 1

  • Haven Behavioral Hospital of Dayton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120323000290 OH Part A Provider - Hospital 4981864287 Practice locations: Dayton, OH
O20130813000653 OH Part B Supplier - Clinic/Group Practice 4981864287 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831460229. Details of each certification follow.

Hospital certification: CCN 364048

Legal name
HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC
Doing business as
HAVEN BEHAVIORAL HOSPITAL OF DAYTON
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Oct 16, 2012
Last certification
Mar 23, 2017
Beds
32
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Oct 24, 2011 in DE
Enrollment address
1 Elizabeth PL
Ste 10B
Dayton, OH 45417-3445
Other Hospital Practice Location
Hospital subgroups
Other

Care Compare: Hospital

Medicare Care Compare
Listed as
Haven Behavioral Hospital of DaytonCCN 364048 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2040960Haven Behavioral Services of Dayton LLC1 Elizabeth Place, Suite 10B, Dayton, OH 45417Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Haven Behavioral Hospital of Dayton2 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

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Oceans Midco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Haven Behavioral Services LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Oct 24, 2011 100%
Oceans Topco, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Oceans Ultimate Holdco, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Haven Behavioral Healthcare Inc Organization, Plano, TX Corporation 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Oceans Ultimate Holdco GP, LLC Organization, Waltham, MA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2025 1%
Wasque Partners II Spe, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025 9.31%
Webster Oceans Co-Investment Fund, LP Organization, Waltham, MA 5% Or Greater Indirect Ownership Interest Jan 1, 2025 33.14%
Jonathan Duckett Individual W-2 Managing EmployeeAd; Jan 1, 2025
Oceans Acquisition Inc Organization, Plano, TX Corporation, Chain home office 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%
Stuart L Archer Individual Corporate OfficerCeo/President Jan 1, 2025
Laura F Tarantino Individual Corporate OfficerEvp/Secretary Jan 1, 2025
Webster Equity Partners V, LP Organization, West Palm Beach, FL 5% Or Greater Indirect Ownership Interest Jan 1, 2025 49.73%
Haven Behavioral Services Holdings LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 24, 2011 100%
Oceans Buyer, Inc. Organization, Waltham, MA Corporation 5% Or Greater Indirect Ownership Interest Jan 1, 2025 100%

Facilities with the same owner 42

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 42

Practitioners & affiliated clinicians

Practitioners 4

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1831460229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 W END AVE STE 1000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE 10B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-234-0100",
            "fax_number": "937-234-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "972-464-0022"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OH",
            "license": "12-5485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076465",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Behavioral Hospital of Dayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.