MEDICARE: GLOBAL 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1447118377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL HAVEN LLC

Provider Business Mailing Address
First Line	:	1511 S HANOVER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4439
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 S HANOVER ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21230-4439
Country	:	US
Telephone Number	:	443-614-8565
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AARON JOHNSON
Credential	:
Telephone Number	:	443-614-8565

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “GLOBAL HAVEN LLC ” Practice Location

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