Healthcare Provider Details

I. General information

NPI: 1538037445
Provider Name (Legal Business Name): ONE HOPE HAVEN HOUSE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 GARFIELD BLVD
GARFIELD HTS OH
44125-1232
US

IV. Provider business mailing address

8300 GARFIELD BLVD
GARFIELD HTS OH
44125-1232
US

V. Phone/Fax

Practice location:
  • Phone: 216-532-6744
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: NATAJLIA BENN
Title or Position: ADMINISTRATOR
Credential:
Phone: 216-532-6744