Care Haven Homes, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

B046039 Issued in KS

Legal business name

CARE HAVEN HOMES, LLC

Practice address

10001 Fontana LN
Overland Park, KS 66207-3639

Phone

(913) 643-0111

Fax

(913) 273-1520

NPI assigned

May 2, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Louis Neil Barnett

Title

Operator

Phone

(913) 643-0111

Specialties & licenses 2

Addresses

Other identifiers 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

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1902027006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 W 75TH ST",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662084126",
            "telephone_number": "913-643-0111",
            "fax_number": "913-273-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 FONTANA LN",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662073639",
            "telephone_number": "913-643-0111",
            "fax_number": "913-273-1520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7010 W 69th Ter",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662041311",
            "country_code": "US",
            "telephone_number": "913-362-6771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CARE HAVEN HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "913-643-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B046030",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "B046039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200372350A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.