Healthcare Provider Details

I. General information

NPI: 1629905674
Provider Name (Legal Business Name): TRUE HAVEN HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 NORTHFIELD RD STE 250C
BEDFORD HTS OH
44146-1186
US

IV. Provider business mailing address

PO BOX 202442
CLEVELAND OH
44120-8124
US

V. Phone/Fax

Practice location:
  • Phone: 216-894-8967
  • Fax:
Mailing address:
  • Phone: 216-894-8967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: DAJSHA GREGORY
Title or Position: DOO
Credential:
Phone: 216-894-8967