Habor Haven Home Healthcare Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HABOR HAVEN HOME HEALTHCARE SERVICES, LLC

Practice address

1327 Empire Central Dr Ste 205
Dallas, TX 75247-4018

Phone

(469) 254-1298

Fax

(972) 685-6497

NPI assigned

Apr 14, 2021

Organization subpart

No

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

Authorized official

Name

Alicia Chanelle Dennis

Title

Owner

Phone

(469) 254-1298

Specialties & licenses 4

Addresses

Other names 1

• Habor Haven Home Healthcare Services, LLC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673654400000",
    "number": "1841871696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 EMPIRE CENTRAL DR STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474018",
            "telephone_number": "469-254-1298",
            "fax_number": "972-685-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 EMPIRE CENTRAL DR STE 205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474018",
            "telephone_number": "469-254-1298",
            "fax_number": "972-685-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABOR HAVEN HOME HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2023-01-14",
        "certification_date": "2023-01-14",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "CHANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-254-1298"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@haborhavenhcs.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3213 Ih 30 Ste 404",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751502680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Habor Haven Home Healthcare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Habor Haven Home Healthcare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Suzanne Hacker, LMSW
• Ashley Nicole Hackett
• Paul Samuel Hackett, M.D.

• In Home Supportive Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.