Active NPI
Haven Detox LR Operating Subsidiary, LLC
- Psychiatric Residential Treatment Facility
- Little Rock, AR
National Provider Identifier
1902755341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- HAVEN DETOX LR OPERATING SUBSIDIARY, LLC
- Practice address
- 5201 Stagecoach Rd
Little Rock, AR 72204-8515 - Phone
- (501) 406-0903
- NPI assigned
- Jan 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tara Gurney
- Title
- Authorized Official
- Phone
- (561) 517-3400
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
5201 Stagecoach Rd
Little Rock, AR 72204-8515
Mailing address
2925 10TH Ave N
Palm Springs, FL 33461-3000
Other practice location 1
111 Smarthouse Way
North Little Rock, AR 72114-5575
Phone (501) 406-0903
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2281682 | Haven Detox LR Operating Subsidiary LLC, the | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
5201 Stagecoach Rd
Little Rock, AR 72204
Phone (501) 361-3138
111 Smarthouse Way
North Little Rock, AR 72114
Phone (501) 406-0903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1902755341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2925 10TH AVE N",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 STAGECOACH RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722048515",
"telephone_number": "501-406-0903"
}
],
"practiceLocations": [
{
"address_1": "111 Smarthouse Way",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721145575",
"country_code": "US",
"telephone_number": "501-406-0903",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HAVEN DETOX LR OPERATING SUBSIDIARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-27",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "GURNEY",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "561-517-3400"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.