MEDICARE: URBAN HAVEN LLC

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1174487490
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN HAVEN LLC

Provider Business Mailing Address
First Line	:	1836 W 25TH ST STE 2A
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3143
Country	:	US
Telephone Number	:	216-200-5582
Fax Number	:

Provider Business Practice Location Address
First Line	:	1836 W 25TH ST STE 2A
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44113-3143
Country	:	US
Telephone Number	:	216-200-5582
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ERIN WHELAN
Credential	:
Telephone Number	:	440-226-6289

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “URBAN HAVEN LLC ” Practice Location

Language	Start Address	Practice Location

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