MEDICARE: HAVEN HUMAN SERVICES 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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1417882838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN HUMAN SERVICES LLC

Provider Business Mailing Address
First Line	:	2710 CROWN POINT AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-1329
Country	:	US
Telephone Number	:	402-679-4554
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 CROWN POINT AVE
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68111-1329
Country	:	US
Telephone Number	:	402-679-4554
Fax Number	:

Authorized Official
Title or Position	:	OPERATIONS MANAGER
Name	:	AKEYDRA HAGENS
Credential	:
Telephone Number	:	402-906-1694

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “HAVEN HUMAN SERVICES LLC ” Practice Location

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