MEDICARE: HOME HAVEN CARE

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1801763982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOME HAVEN CARE

Provider Business Mailing Address
First Line	:	11 EWALL ST
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3062
Country	:	US
Telephone Number	:	843-209-8500
Fax Number	:	843-209-8500

Provider Business Practice Location Address
First Line	:	11 EWALL ST
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-3062
Country	:	US
Telephone Number	:	843-209-8500
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JON BOYD
Credential	:
Telephone Number	:	843-209-8500

Provider Enumeration Date	:	10/22/2025
Last Update Date	:	02/02/2026

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Directions to “HOME HAVEN CARE ” Practice Location

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