Healthcare Provider Details

I. General information

NPI: 1578497624
Provider Name (Legal Business Name): NEW HAVEN COMMUNITIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5338 W LA MIRADA DR
LAVEEN AZ
85339-9602
US

IV. Provider business mailing address

4313 W BUIST AVE
LAVEEN AZ
85339-2053
US

V. Phone/Fax

Practice location:
  • Phone: 602-318-4571
  • Fax: 855-202-0685
Mailing address:
  • Phone: 602-318-4571
  • Fax: 855-202-0685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: THOMAS NASSER-TAYLOR
Title or Position: COO
Credential:
Phone: 602-419-5244