HAVENS RECOVERY CENTER LLC NPI 1912448747

NPI Information

NPI: 1912448747
Provider Name: HAVENS RECOVERY CENTER, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4461 BROADWAY
GROVE CITY, OH
ZIP 43123
Phone: (614) 594-2141
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HAVENS RECOVERY CENTER, LLC is a general practice in Grove City, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HAVENS RECOVERY CENTER, LLC NPI is 1912448747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4461 BROADWAY
GROVE CITY, OH
ZIP 43123-064
Phone: (614) 594-2141

The provider's authorized official is Bernard Oppong .
The authorized official title is Ceo and has the following contact phone number (614) 440-2775.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 8/22/2017.

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	Primary
1	207Q00000X	Family Medicine		No
2	207QA0401X	Family Medicine	Addiction Medicine	No
3	207R00000X	Internal Medicine		No
4	207RA0401X	Internal Medicine	Addiction Medicine	No
5	208D00000X	General Practice		Yes

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: 5/5/2024

NPI Synchronization or Removal

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