Haven Health and Wellness LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAVEN HEALTH AND WELLNESS LLC

Practice address

45 Bellefonte Ave
Lock Haven, PA 17745

Phone

(570) 337-3440

NPI assigned

Sep 5, 2024

Organization subpart

No

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

Authorized official

Name

Jeremy LazorkaNPI 1043573066

Title

Manager

Phone

(570) 858-5328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Jeremy Daniel Lazorka, PA-C

  • Physician Assistant
  • Lock Haven, PA
  • NPI 1043573066

  PA

  Medicare reassignment Care Compare group Authorized official
• Kirsten Ellen Bubb, CRNP

  • Nurse Practitioner
  • Lock Haven, PA
  • NPI 1134554751

  PA

  Medicare reassignment Care Compare group NPD
• Bernard C Steinbacher, MD

  • Internal Medicine Physician
  • Williamsport, PA
  • NPI 1700853751

  PA

  Medicare reassignment Care Compare group NPD
• Danielle M Thompson, CRNP

  • Nurse Practitioner
  • Lock Haven, PA
  • NPI 1285178830

  Multi-Specialty, PA

  Medicare reassignment Care Compare group NPD
• Edward Gusick

  • Sports Medicine (Emergency Medicine) Physician
  • Selinsgrove, PA
  • NPI 1992974679

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1871328211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 BELLEFONTE AVE",
            "address_2": "SUITE #2",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-858-5328",
            "fax_number": "570-858-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 BELLEFONTE AVE",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "17745",
            "telephone_number": "570-337-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "LAZORKA",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "570-858-5328"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Sue Harby, OTR/L
• Chad A Harris, DMD
• Chelsea Harris, LCSW
• Corrina Jane Harris, LPC
• Elizabeth Marie Hart, DO
• Melody Henderson, OTR/L
• Kaitlynn R Henry
• Helen Corinne Hetzel, ATC
• Allison Marie Hiner
• Chloe E Hoffman

• All providers in Lock Haven, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.