Haven Transportation Service LLC

Primary specialty

BusTaxonomy code 347B00000X

License

189135 Issued in OH

Legal business name

HAVEN TRANSPORTATION SERVICE LLC

Practice address

17822 Euclid Ave
Cleveland, OH 44112-1220

Phone

(216) 338-4126

Fax

(216) 965-0411

NPI assigned

Jul 3, 2012

Last updated

Jul 3, 2012By 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

Aundria Hawkins

Title

Director

Phone

(216) 338-4126

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1972867190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S BELVOIR BLVD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "441212345",
            "telephone_number": "216-338-4126",
            "fax_number": "216-965-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121220",
            "telephone_number": "216-338-4126",
            "fax_number": "216-965-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "AUNDRIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-338-4126"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "189135",
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "OH",
            "license": "189135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL TRANSPORTATION BOARD SERVICE NUMBER",
            "identifier": "189135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer S Haut, PHD
• Dianne Lynn Havanchak, ACNP
• Haven Care Facilities
• Haven for Heros LLC
• Haven of Hope Adult Family Home LLC
• Alexander Havens
• Georgia Havens, RN
• Chase Havice
• Kelly Havlin, PT, DPT, MBA
• Megan Marie Forsthoffer Hawk-Knerr, APRN-CNP

• Bus in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Bus in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.