Organization Active NPI

Haven Health LLC

  • Non-emergency Medical Transport (VAN)
  • Bloomington, MN
National Provider Identifier
1912791807
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HAVEN HEALTH LLC
Practice address
10800 Lyndale Ave S Ste 275
Bloomington, MN 55420-5692
Phone
(612) 325-5398
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Mr. Yacob Ali
Title
Owner
Phone
(612) 325-5398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

10800 Lyndale Ave S Ste 275
Bloomington, MN 55420-5692

Mailing address

10800 Lyndale Ave S Ste 275
Bloomington, MN 55420-5692
Phone (612) 325-5398

Other names 1

  • iride Doing business as

National Provider Directory

National Provider Directory

Locations

10800 Lyndale Ave S
Ste 275
Bloomington, MN 55420
Phone (612) 325-5398

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1912791807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 275",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205692",
            "telephone_number": "612-325-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 275",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205692",
            "telephone_number": "612-325-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "YACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-325-5398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iride",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.