Haven Health of Louisiana Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

167 Issued in LA

Legal business name

HAVEN HEALTH OF LOUISIANA INC

Doing business as

Haven Health and Hospice of Louisiana

Practice address

753 Robert Blvd.
Suite B
Slidell, LA 70458

Phone

(985) 649-6001

Fax

(985) 649-6006

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Lynn Keitz

Title

Owner

Phone

(562) 426-7500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haven Health and Hospice of Louisiana Doing business as

Locations

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1861447849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 ROBERT BLVD",
            "address_2": "SUITE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-649-6001",
            "fax_number": "985-649-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 ROBERT BLVD.",
            "address_2": "SUITE B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70458",
            "telephone_number": "985-649-6001",
            "fax_number": "985-649-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH OF LOUISIANA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "KEITZ",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-426-7500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "191612",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Health and Hospice of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Harvey, NP
• Paul Russell Hastings I, M.D.
• Alexzandra Hattier
• David Hattier, LPC
• Elizabeth Hattier, PT, DPT
• Brenda Hawkins, FNP-C
• Jamie Reynelda Hawkins
• Morris C. Hawkins Jr., RN
• Shavon Carolette Hawkins
• Claire Battle Haydel

• Community Based Hospice Care Agency in Slidell, LA
• Providers in Slidell, LA by specialty
• Community Based Hospice Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.