Provider Demographics
NPI:1225021488
Name:BELLE HAVEN ASSOCIATES
Entity Type:Organization
Organization Name:BELLE HAVEN ASSOCIATES
Other - Org Name:BELLE HAVEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:VASSA
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:215-536-7666
Mailing Address - Street 1:1320 MILL RD
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-1137
Mailing Address - Country:US
Mailing Address - Phone:215-536-7666
Mailing Address - Fax:215-536-5887
Practice Address - Street 1:1320 MILL RD
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1137
Practice Address - Country:US
Practice Address - Phone:215-536-7666
Practice Address - Fax:215-536-5887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0243314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007787010002Medicaid
PA1007787010002Medicaid