Haven Supports, Llc

LBN: Haven Supports, Llc
Haven Supports, Llc is an health care organization with primary practice located at 920 E 8Th St , Pittsburg KS 66762-4302. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Haven Supports, Llc can be contacted via phone (620) 235-0177, or through Hermes, Justin via phone (620) 235-0177.

Contact Information

Primary practice address
920 E 8Th St Pittsburg KS 66762-4302
Phone: (620) 235-0177
Fax: (620) 235-0177
Website:
Map and Directions
Authorized official contact:
Name: Hermes, Justin
Phone: (620) 235-0177

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X

Profile Details

NPI number 1003958273
LBN Legal business name Haven Supports, Llc
DBA Doing business as
Authorized official Hermes, Justin
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 18th, 2008 - about 18 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 1003958273 NPPES
Kansas MEDICAID 100401690A

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