NPIMap

Organization Active NPI

Health Haven LLC

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1861663171
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTH HAVEN LLC
Practice address
1610 Allen Creek Rd
Suite 101
Grants Pass, OR 97527-5820
Phone
(541) 476-9628
Fax
(541) 479-4378
NPI assigned
Mar 13, 2008
Last updated
Apr 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Thomas GillilandNPI 1700960085
Title
Owner/Chiropractor
Phone
(541) 476-9628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1610 Allen Creek Rd
Suite 101
Grants Pass, OR 97527-5820

Mailing address

1610 Allen Creek Rd
Suite 101
Grants Pass, OR 97527-5820
Phone (541) 476-9628

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1861663171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ALLEN CREEK RD",
            "address_2": "SUITE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275820",
            "telephone_number": "541-476-9628",
            "fax_number": "541-479-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ALLEN CREEK RD",
            "address_2": "SUITE 101",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275820",
            "telephone_number": "541-476-9628",
            "fax_number": "541-479-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "541-476-9628"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.