Healthcare Provider Details

I. General information

NPI: 1437945029
Provider Name (Legal Business Name): HELEN'S HAVEN & HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3632 VIOLA AVE SW
BIRMINGHAM AL
35221-2024
US

IV. Provider business mailing address

3632 VIOLA AVE SW
BIRMINGHAM AL
35221-2024
US

V. Phone/Fax

Practice location:
  • Phone: 205-603-8176
  • Fax:
Mailing address:
  • Phone: 205-603-8176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. BLAIR RICARD
Title or Position: OWNER
Credential:
Phone: 225-361-3970