Hatch Haven, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HATCH HAVEN, LLC

Practice address

697 S Main St
Snowflake, AZ 85937-5556

Phone

(480) 815-6490

Fax

(480) 393-1898

NPI assigned

Sep 7, 2023

Last updated

Sep 17, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

HATCH HAVEN, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Steven Lee Norbut

Title

Manager

Phone

(480) 815-6490

Specialties & licenses 1

Addresses

Other names 1

• Snowflake Main Home Other name

Tax ID family

Hatch Haven LLC9 organizations share this tax ID, including this one

Part of

Hatch Haven LLC

Other organizations with this tax ID 8

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

• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mesa, AZ
  • NPI 1083490023
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mesa, AZ
  • NPI 1174300909
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gilbert, AZ
  • NPI 1275310807
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mesa, AZ
  • NPI 1407633035
  NPD tax ID
• Hatch Haven, LLC

  dba Hatch Haven

  • Developmentally Disabled Services Day Training Agency
  • Gilbert, AZ
  • NPI 1447848676
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gilbert, AZ
  • NPI 1467238402
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mesa, AZ
  • NPI 1477339471
  NPD tax ID
• Hatch Haven, LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Gilbert, AZ
  • NPI 1689450215
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hatch Haven, LLC

  dba Hatch Haven

  • Developmentally Disabled Services Day Training Agency
  • Gilbert, AZ
  • NPI 1447848676
  NPPES parent name

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694908800000",
    "number": "1962288670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 E GAIL DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852969779",
            "telephone_number": "480-815-6490",
            "fax_number": "480-393-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 S MAIN ST",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375556",
            "telephone_number": "480-815-6490",
            "fax_number": "480-393-1898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 E Gail Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852969779",
            "country_code": "US",
            "telephone_number": "480-815-6490",
            "fax_number": "480-393-1898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HATCH HAVEN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HATCH HAVEN, LLC",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A",
        "authorized_official_last_name": "NORBUT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-815-6490",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snowflake Main Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Snowflake Main Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary D. Goodwin, LCSW
• Gwendolyn Lee Hall CNM Inc (Snowflake Heber Women's Clinic)
• Gwendolyn Lee Hall, CNM (Snowflake/Heber Women's Clinic)
• Wendy Lee Hall, CNM
• Michelle Hardesty, FAMILY NURSE PRACTIT
• Lincoln David Hiatt, MD
• Melody Ann Hoffmann, LPN
• Taylor Hunt, DMD
• Guadalupe Ibarra, SLPA16031
• Innercore Transformation

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Snowflake, AZ
• Providers in Snowflake, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.