MEDICARE: NEW HAVEN COMMUNITIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578497624
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HAVEN COMMUNITIES, LLC

Provider Business Mailing Address
First Line	:	4313 W BUIST AVE
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-2053
Country	:	US
Telephone Number	:	602-318-4571
Fax Number	:	855-202-0685

Provider Business Practice Location Address
First Line	:	5338 W LA MIRADA DR
Second Line	:
City	:	LAVEEN
State	:	AZ
Zip	:	85339-9602
Country	:	US
Telephone Number	:	602-318-4571
Fax Number	:	855-202-0685

Authorized Official
Title or Position	:	COO
Name	:	THOMAS NASSER-TAYLOR
Credential	:
Telephone Number	:	602-419-5244

Provider Enumeration Date	:	06/11/2026
Last Update Date	:	06/18/2026

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Directions to “NEW HAVEN COMMUNITIES, LLC ” Practice Location

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