MEDICARE: HAYVEN HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1164234167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAYVEN HEALTHCARE

Provider Business Mailing Address
First Line	:	7910 STEADMAN ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-1041
Country	:	US
Telephone Number	:	856-516-1626
Fax Number	:

Provider Business Practice Location Address
First Line	:	7910 STEADMAN ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-1041
Country	:	US
Telephone Number	:	856-516-1626
Fax Number	:

Authorized Official
Title or Position	:	NURSING ADMINISTRATOR
Name	:	SHARYCE HAYES-JONES
Credential	:	RN
Telephone Number	:	856-516-1626

Provider Enumeration Date	:	01/25/2025
Last Update Date	:	01/25/2025

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Directions to “HAYVEN HEALTHCARE ” Practice Location

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