MEDICARE: UNITY HAVEN LIVING, 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1215867932
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITY HAVEN LIVING, LLC

Provider Business Mailing Address
First Line	:	1305 WEST BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-1710
Country	:	US
Telephone Number	:	209-371-7335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1305 WEST BLVD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-1710
Country	:	US
Telephone Number	:	209-371-7335
Fax Number	:

Authorized Official
Title or Position	:	DOO
Name	:	LAUREN FRANKS
Credential	:
Telephone Number	:	209-371-7335

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “UNITY HAVEN LIVING, LLC ” Practice Location

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