HAVEN GROUP HOMES NPI 1760670574

NPI Information

  • NPI: 1760670574
  • Provider Name: HAVEN GROUP HOMES
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 3207 O' HENRY BLVD N
    GREENSBORO, NC
    ZIP 27405
  • Phone: (336) 375-1078

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NPI Details

HAVEN GROUP HOMES is an assisted living and mental illness assisted living facility in Greensboro, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. HAVEN GROUP HOMES NPI is 1760670574. The provider is registered as an organization entity type.

The provider's business location address is:

3207 O' HENRY BLVD N
GREENSBORO, NC
ZIP 27405-807
Phone: (336) 375-1078
Fax: (336) 375-0046

The provider's authorized official is Yvonne Pinder .
The authorized official title is Executive Director and has the following contact phone number (336) 375-1078.

The enumeration date for this NPI number is 10/5/2007 and was last updated on 10/5/2007.

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
1311ZA0620XCustodial Care FacilityAdult Care HomeMHL041790NORTH CAROLINANo
23104A0625XAssisted Living FacilityAssisted Living, Mental IllnessMHL041790NORTH CAROLINAYes

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
17805851MEDICAIDNORTH CAROLINA

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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