HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC NPI 1093079303

NPI Information

  • NPI: 1093079303
  • Provider Name: HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
  • Classification: Psychiatric Hospital - 283Q00000X
  • Entity Type: Organization
  • :
  • Address: 5400 GIBSON BLVD SE
    4TH FLOOR
    ALBUQUERQUE, NM
    ZIP 87108
  • Phone: (615) 393-8826

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NPI Details

HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC is a psychiatric hospital in Albuquerque, NM. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC NPI is 1093079303. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

5400 GIBSON BLVD SE
4TH FLOOR
ALBUQUERQUE, NM
ZIP 87108-729
Phone: (615) 393-8826

The provider's authorized official is Laura Tarantino .
The authorized official title is Evp and has the following contact phone number (972) 464-0022.

The enumeration date for this NPI number is 7/2/2012 and was last updated on 3/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1283Q00000XPsychiatric Hospital2T3426NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
108652856MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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