SWEET HAVEN LLC NPI 1548864440

NPI Information

NPI: 1548864440
Provider Name: SWEET HAVEN LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1525 W PEPPER PL
MESA, AZ
ZIP 85201
Phone: (480) 200-9183
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SWEET HAVEN LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Mesa, AZ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. SWEET HAVEN LLC NPI is 1548864440. The provider is registered as an organization entity type.

The provider's business location address is:

1525 W PEPPER PL
MESA, AZ
ZIP 85201-011
Phone: (480) 200-9183

The provider's authorized official is Shani Shiqow .
The authorized official title is Ceo and has the following contact phone number (480) 200-9183.

The enumeration date for this NPI number is 11/23/2020 and was last updated on 11/23/2020.

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
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

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
1	Q14206	OTHER	ARIZONA	DEPARTMENT OF DEVELOPMENTAL DISABILITY

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: 4/28/2024

NPI Synchronization or Removal

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