Haven Health Center of Greenville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

LTC00734 Issued in RI

Legal business name

HAVEN HEALTH CENTER OF GREENVILLE, LLC

Practice address

735 Putnam Pike
Greenville, RI 02828-1435

Phone

(401) 949-1200

Fax

(401) 949-1204

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Paula Bloom

Title

Director of Ar

Phone

(860) 344-3884

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1992760672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281435",
            "telephone_number": "401-949-1200",
            "fax_number": "401-949-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 PUTNAM PIKE",
            "city": "GREENVILLE",
            "state": "RI",
            "postal_code": "028281435",
            "telephone_number": "401-949-1200",
            "fax_number": "401-949-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH CENTER OF GREENVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR OF AR",
        "authorized_official_telephone_number": "860-344-3884"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "RI",
            "license": "LTC00734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HH00734",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael G Haley, PHYSICAL THERPIST MS
• Dena C Hall, O.D.
• Eric J Hall, O.D.
• Ronald J Hall, O.D.
• Derek E Hathaway, DMD
• Healthpro Heritage Rehab & Fitness, LLC
• Rebecca E Hodgson, PT
• Ashley Hogan, OTR
• Danalyn Holdredge, MA, BCBA, LBA
• Laura Horta, CNP

• Skilled Nursing Facility in Greenville, RI
• Providers in Greenville, RI by specialty
• Skilled Nursing Facility in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.