Haven Of Lake Havasu

LBN: Haven Health Lake Havasu
Haven Of Lake Havasu is an health care organization with primary practice located at 2781 Osborn Dr , Lake Havasu City AZ 86406-8629. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Haven Health Lake Havasu can be contacted via phone (192) 850-5552, or through Thomas, Scott via phone (801) 296-5100.

Contact Information

Primary practice address
2781 Osborn Dr Lake Havasu City AZ 86406-8629
Fax: (801) 296-5111
Website:
Authorized official contact:
Name: Thomas, Scott

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Arizona

Profile Details

NPI number 1366978603
LBN Legal business name Haven Health Lake Havasu
DBA Doing business as Haven Of Lake Havasu
Authorized official Thomas, Scott
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2017
Last updated Jun 2nd, 2023 - about 2 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 1366978603 NPPES
Arizona MEDICAID 339439

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