Haven Focused Veterans Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN FOCUSED VETERANS SERVICES

Practice address

8902 Otis Ave Ste 105B
Indianapolis, IN 46216-1076

Phone

(317) 414-4126

Fax

(317) 723-3615

NPI assigned

May 31, 2022

Organization subpart

No

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

Authorized official

Name

Charles HendersonNPI 1437896966

Title

Ceo

Phone

(317) 414-4126

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Haven Focused Veterans Services Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Edward Henderson

  • Social Worker
  • Indianapolis, IN
  • NPI 1437896966
  NPD Authorized official
• Tissia Fay Henderson

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1801031539
  NPD

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1932848843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 OTIS AVE STE 105B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161076",
            "telephone_number": "317-414-4126",
            "fax_number": "317-723-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8902 OTIS AVE STE 105B",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161076",
            "telephone_number": "317-414-4126",
            "fax_number": "317-723-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN FOCUSED VETERANS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-414-4126"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437896966",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Focused Veterans Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Nicole Haut, MD
• Paul R Haut, MD
• Have Joy Mental Health Services LLC
• Haven Behavioral Services of Indianapolis, LLC
• Haven Focused
• Corben Havener
• Benjamin Patrick Havens, MD
• Madison Haverly-Binder, BCBA
• Pamela S. Haverly, R.N.,B.S.N.
• Rebecca Lynn Haverstick, RPH

• Home Health Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.