Haven Health Prescott Alf Llc
LBN: Haven Health Prescott Alf Llc
Haven Health Prescott Alf Llc is an health care organization with primary practice located at 860 Dougherty St , Prescott AZ 86305-1841. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty.
Haven Health Prescott Alf Llc can be contacted via phone (928) 778-9777, or through Robertson, Brett P via phone (480) 935-4300.
Contact Information
Primary practice address
860 Dougherty St
Prescott AZ 86305-1841
Phone: (928) 778-9777
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | ||
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X |
Profile Details
| NPI number | 1831839547 |
|---|---|
| LBN Legal business name | Haven Health Prescott Alf Llc |
| DBA Doing business as | |
| Authorized official | Robertson, Brett P |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 30th, 2022 |
| Last updated | Jun 14th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831839547 | NPPES |
| Arizona | MEDICAID | 1831839547 |
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