Active NPI
Haven Home Care, Inc.
- Home Health Agency
- Fairlawn, OH
National Provider Identifier
1992945505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HAVEN HOME CARE, INC.
- Practice address
- 150 N Miller Rd Ste 350a
Fairlawn, OH 44333-3779 - Phone
- (330) 305-6699
- Fax
- (330) 305-6856
- NPI assigned
- Feb 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Spalek
- Title
- Bookkeeper
- Phone
- (234) 312-4980
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
150 N Miller Rd Ste 350a
Fairlawn, OH 44333-3779
Mailing address
11366 Cleveland Ave NW Ste B
Uniontown, OH 44685-8078
Phone (330) 305-6699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2163984 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508976000000",
"number": "1992945505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11366 CLEVELAND AVE NW STE B",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446858078",
"telephone_number": "330-305-6699",
"fax_number": "330-305-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 N MILLER RD STE 350A",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333779",
"telephone_number": "330-305-6699",
"fax_number": "330-305-6856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2017-10-26",
"status": "A",
"authorized_official_last_name": "SPALEK",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "234-312-4980"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2163984",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairlawn, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.