MEDICARE: HARNEWS SENIOR REST HAVEN

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1801686795
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARNEWS SENIOR REST HAVEN

Provider Business Mailing Address
First Line	:	5341 GRANBY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-4217
Country	:	US
Telephone Number	:	703-597-2149
Fax Number	:

Provider Business Practice Location Address
First Line	:	5341 GRANBY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-4217
Country	:	US
Telephone Number	:	703-597-2149
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	MRS. CYNTHIA LYNN NEWSOME
Credential	:
Telephone Number	:	703-597-2149

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	04/08/2026

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