Happy Haven Az Llc

LBN: Happy Haven Az Llc
Happy Haven Az Llc is an health care organization with primary practice located at 1110 W Hadley St , Phoenix AZ 85007-3610. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Happy Haven Az Llc can be contacted via phone (857) 200-7660, or through Karomba, Gael via phone (857) 200-7660.

Contact Information

Primary practice address
1110 W Hadley St Phoenix AZ 85007-3610
Phone: (857) 200-7660
Fax: (602) 675-1847
Website:
Map and Directions
Authorized official contact:
Name: Karomba, Gael
Phone: (857) 200-7660

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1043846561
LBN Legal business name Happy Haven Az Llc
DBA Doing business as
Authorized official Karomba, Gael
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2020
Last updated Mar 16th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043846561 NPPES
Arizona MEDICAID BH6042

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