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NPI 1659184786

NPI 1659184786 : HAVEN FOR HEALTH LLC : BROOKLYN PARK, MN

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General NPI Number Information
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    NPI Number           |    1659184786
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAVEN FOR HEALTH LLC 
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Dates
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    Enumeration Date     |    01/31/2025
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    8412 TOLEDO AVE N 
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    City                 |    BROOKLYN PARK
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    State                |    MN
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    Zip                  |    55443-2285
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    Country              |    US
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    Telephone            |    612-991-8227
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8412 TOLEDO AVE N 
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    City                 |    BROOKLYN PARK
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    State                |    MN
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    Zip                  |    55443-2285
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    Country              |    US
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    Telephone            |    612-991-8227
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO / OWNER
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    Name                 |     APRIL  HAVEN 
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    Credential           |    RN, MLS, IS, RYT
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    Telephone            |    612-991-8227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    347C00000X
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    Taxonomy Name        |    Private Vehicle
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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