Organization Active NPI

Haven Health Center at Seacoast, LLC

  • Skilled Nursing Facility
  • Hampton, NH
National Provider Identifier
1912982604
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
02947 Issued in NH
Legal business name
HAVEN HEALTH CENTER AT SEACOAST, LLC
Practice address
22 Tuck Rd
Hampton, NH 03842-1225
Phone
(603) 926-4551
Fax
(603) 929-3031
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Paula Bloom
Title
Collections Supervisor
Phone
(860) 344-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 02947 NH Primary

Addresses

Primary practice location

22 Tuck Rd
Hampton, NH 03842-1225

Mailing address

22 Tuck Rd
Hampton, NH 03842-1225
Phone (603) 926-4551

Other identifiers 1

IdentifierTypeStateIssuer
30102995MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1912982604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TUCK RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421225",
            "telephone_number": "603-926-4551",
            "fax_number": "603-929-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TUCK RD",
            "city": "HAMPTON",
            "state": "NH",
            "postal_code": "038421225",
            "telephone_number": "603-926-4551",
            "fax_number": "603-929-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER AT SEACOAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "COLLECTIONS SUPERVISOR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NH",
            "license": "02947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30102995",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.