Organization Active NPI

Haven Home Care, Inc.

  • Home Health Agency
  • Fairlawn, OH
National Provider Identifier
1992945505
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Oct 26, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2163984MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.