Haven Health Prescott Llc

LBN: Haven Health Prescott Llc
Haven Health Prescott Llc is an health care organization with primary practice located at 864 Dougherty St , Prescott AZ 86305-1841. 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 Prescott Llc can be contacted via phone (928) 778-9667, or through Robertson, Brett P via phone (480) 935-4300.

Contact Information

Primary practice address
864 Dougherty St Prescott AZ 86305-1841
Phone: (928) 778-9667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Brett P
Phone: (480) 935-4300

Health care specialties

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

Profile Details

NPI number 1588304299
LBN Legal business name Haven Health Prescott 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 last year

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 1588304299 NPPES
Arizona MEDICAID 147234

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