Haven Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN HOME HEALTH LLC

Practice address

13166 US Highway 80 E
Pike Road, AL 36064-4028

Phone

(334) 590-5647

NPI assigned

Aug 3, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HAVEN LIFELINE INCAs reported in NPPES

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

Authorized official

Name

Nkeya Peterman

Title

President

Phone

(334) 549-2694

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1841972312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8808 ALDERWOOD WAY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178465",
            "telephone_number": "334-590-5647",
            "fax_number": "833-652-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13166 US HIGHWAY 80 E",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360644028",
            "telephone_number": "334-590-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN LIFELINE INC",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "PETERMAN",
        "authorized_official_first_name": "NKEYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-549-2694"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Pike Road, AL
• Providers in Pike Road, AL by specialty
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.