Haven Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

010703002000 Issued in LA

Legal business name

HAVEN MEDICAL SUPPLY

Practice address

7726 US Hwy 165
Columbia, LA 71418-7726

Phone

(318) 649-9809

Fax

(318) 649-9825

NPI assigned

Dec 19, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer A Donalies

Title

Business Office/ Ar

Phone

(318) 649-9809

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952387243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7726 US HWY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714187726",
            "telephone_number": "318-649-9809",
            "fax_number": "318-649-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7726 US HWY 165",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714187726",
            "telephone_number": "318-649-9809",
            "fax_number": "318-649-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONALIES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE/ AR",
        "authorized_official_telephone_number": "318-649-9809",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "010703002000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1382655",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guerrero Rehabilitation LLC
• Landry C Guerrero, LOTR
• Barbara Pailette Hart, R.N.
• Haven Community Care
• Haven Home Health, Inc.
• Haven Nursing Center, Inc
• Haven Rehabilitation Center Inc
• Randy W Head, MD APMC
• Megan Laird Hemphill, FNP
• Denni Levi-Paulk Hickman

• Durable Medical Equipment & Medical Supplies in Columbia, LA
• Providers in Columbia, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.