Haven Community And Social Services Agency

LBN: Haven Community And Social Services Agency
Haven Community And Social Services Agency is an health care organization with primary practice located at 43284 W Arizona Ave , Maricopa AZ 85138-8236. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Illness, Child. Agencies / Community/Behavioral Health is the primary health care specialty. Haven Community And Social Services Agency can be contacted via phone (520) 350-4697, or through Alexander, Tamla D via phone (520) 350-4697.

Contact Information

Primary practice address
43284 W Arizona Ave Maricopa AZ 85138-8236
Phone: (520) 350-4697
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Tamla D
Phone: (520) 350-4697

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X

Profile Details

NPI number 1104447770
LBN Legal business name Haven Community And Social Services Agency
DBA Doing business as
Authorized official Alexander, Tamla D
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2020
Last updated Nov 27th, 2023 - about 3 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 1104447770 NPPES
Arizona MEDICAID 265556

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