Organization Active NPI

Icare Assisted Living

Doing business as The Haven Assisted Living

  • Assisted Living Facility
  • Mechanicsville, VA
National Provider Identifier
1942943766
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ICARE ASSISTED LIVING
Doing business as
The Haven Assisted Living
Practice address
5519 Mechanicsville Turnpike
Mechanicsville, VA 23111
Phone
(804) 779-4847
Fax
(804) 569-9744
NPI assigned
Apr 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mrs. Berta Cummins
Title
Owner/President
Phone
(804) 779-4847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5519 Mechanicsville Turnpike
Mechanicsville, VA 23111

Mailing address

P.O. Box 1526
Mechanicsville, VA 23116
Phone (804) 779-4847

Other names 1

  • The Haven Assisted Living Doing business as

National Provider Directory

National Provider Directory

Locations

5519 Mechanicsville Tpke
Mechanicsville, VA 23111
Phone (804) 779-4847

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1942943766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1526",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-779-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5519 MECHANICSVILLE TURNPIKE",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23111",
            "telephone_number": "804-779-4847",
            "fax_number": "804-569-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "BERTA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "804-779-4847",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.