Organization Active NPI

Haven Home Health, LLC

  • Family Nurse Practitioner
  • Ozark, MO
National Provider Identifier
1922923770
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HAVEN HOME HEALTH, LLC
Practice address
850 N 25TH St
Ozark, MO 65721-8033
Phone
(417) 731-7055
Fax
(888) 550-3518
NPI assigned
Aug 11, 2026
Organization subpart
Yes
Parent organization
HAVEN HOME HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
John Ross Ray
Title
Ceo
Phone
(417) 496-5958

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

850 N 25TH St
Ozark, MO 65721-8033

Mailing address

850 N 25TH St
Ozark, MO 65721-8033

National Provider Directory

National Provider Directory
Tax ID family
Haven Home Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

850 N 25th St
Ozark, MO 65721
Phone (417) 581-1234

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1922923770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N 25TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 N 25TH ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657218033",
            "telephone_number": "417-731-7055",
            "fax_number": "888-550-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN HOME HEALTH, LLC",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "417-496-5958"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.