HAVEN BEHAVIORAL SERVICES OF DAYTON LLC NPI 1831460229

NPI Information

NPI: 1831460229
Provider Name: HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC

Doing Business As: HAVEN BEHAVIORAL SENIOR CARE OF DAYTON

Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Organization

CLIA Number: 36D2040960

Address:
1 ELIZABETH PL STE 10B
DAYTON, OH
ZIP 45417
Phone: (937) 234-0100
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HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC is a psychiatric hospital in Dayton, OH. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. HAVEN BEHAVIORAL SERVICES OF DAYTON, LLC NPI is 1831460229. The provider is registered as an organization entity type.
The provider Is Doing Business As Haven Behavioral Senior Care Of Dayton.

The provider's business location address is:

1 ELIZABETH PL STE 10B
DAYTON, OH
ZIP 45417-445
Phone: (937) 234-0100
Fax: (937) 234-0101

The provider's authorized official is Janie R Pickle .
The authorized official title is Vp/treasurer and has the following contact phone number (615) 393-8809.

The CLIA number assigned to this NPI record is 36D2040960 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 2/13/2023.

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	283Q00000X	Psychiatric Hospital		12-5485	OHIO	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	0076465	MEDICAID	OHIO

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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