HAVEN ARIZONA LLC NPI 1487436796

NPI Information

  • NPI: 1487436796
  • Provider Name: HAVEN ARIZONA, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: 3161 S PROSPEROUS PL
    GREEN VALLEY, AZ
    ZIP 85614
  • Phone: (561) 635-2400

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NPI Details

HAVEN ARIZONA, LLC is a substance abuse rehabilitation facility in Green Valley, AZ. 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 ARIZONA, LLC NPI is 1487436796. The provider is registered as an organization entity type.

The provider's business location address is:

3161 S PROSPEROUS PL
GREEN VALLEY, AZ
ZIP 85614-403
Phone: (561) 635-2400

The provider's authorized official is Kirill Vesselov .
The authorized official title is President and has the following contact phone number (561) 396-5849.

The enumeration date for this NPI number is 10/20/2023 and was last updated on 2/19/2025.

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 HospitalNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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