Health Haven LLC – Chiropractor in Grants Pass, OR

Key facts

NPI: 1861663171
Entity type: Organization (NPI type 2)
Primary specialty: Chiropractor 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
Organization subpart: No

Authorized official

Name: Thomas Gilliland
Title: Owner/Chiropractor
Phone: (541) 476-9628

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Benjmain L Turner, DC Chiropractor · Grants Pass, OR · NPI 1366659963

NPD (past) CHIROPRACTOR

National Provider Directory

Locations

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

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Chiropractor Group: 193400000X SINGLE SPECIALTY GROUP	111N00000X			Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 17, 2008.

{
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

All providers in Grants Pass, OR · Chiropractor in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.