=====================================================
General NPI Number Information
=====================================================
NPI Number | 1639010234
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME HAVEN CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/06/2026
-----------------------------------------------------
Last Update Date | 04/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 211 BECKWOURTH DR
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45050-1888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-291-0936
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 211 BECKWOURTH DR
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45050-1888
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-291-0936
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND ADMINISTRATOR
-----------------------------------------------------
Name | GILLY KWAKU ANOKYE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 513-291-0936
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------