Haven Health Center of Soundview, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

2255 Issued in CT

Legal business name

HAVEN HEALTH CENTER OF SOUNDVIEW, LLC

Practice address

1 Care LN
West Haven, CT 06516-2601

Phone

(203) 934-7955

Fax

(203) 931-4089

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1922095587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CARE LN",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162601",
            "telephone_number": "203-934-7955",
            "fax_number": "203-931-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CARE LN",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162601",
            "telephone_number": "203-934-7955",
            "fax_number": "203-931-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF SOUNDVIEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "793",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Lewis Haspel, M.D.
• Susan Hassan, PA
• Kaci Alexandra Hathaway, LMFT
• Mason Lee Hatwan
• Haven Health Center of Farmington
• Haven Pediatric Dentistry,LLC
• Seonaid Francis Hay, M.D.
• Di Yi He, APRN
• Healthcare Professional Services
• Healthnation PC

• Skilled Nursing Facility in West Haven, CT
• Providers in West Haven, CT by specialty
• Skilled Nursing Facility in Connecticut

• 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.