HAVEN HOUSE INC . NPI 1265416994

NPI Information

  • NPI: 1265416994
  • Provider Name: HAVEN HOUSE, INC .
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 21D2076252
  • Address: 1195 AUGUSTINE HERMAN HWY
    ELKTON, MD
    ZIP 21921
  • Phone: (410) 398-9900

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NPI Details

HAVEN HOUSE, INC . is a substance abuse rehabilitation facility in Elkton, MD. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. HAVEN HOUSE, INC . NPI is 1265416994. The provider is registered as an organization entity type.

The provider's business location address is:

1195 AUGUSTINE HERMAN HWY
ELKTON, MD
ZIP 21921-252
Phone: (410) 398-9900

The provider's authorized official is Jessie Costley .
The authorized official title is Credentialing Specialist and has the following contact phone number (443) 839-6928.

The CLIA number assigned to this NPI record is 21D2076252 - other - halfway house with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 7/25/2024.

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
1324500000XSubstance Abuse Rehabilitation Facility8314MARYLANDYes

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: 11/21/2025

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