Provider Demographics
NPI:1275149965
Name:FAMILY HAVEN INC
Entity Type:Organization
Organization Name:FAMILY HAVEN INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-250-2773
Mailing Address - Street 1:29501 W OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-1843
Mailing Address - Country:US
Mailing Address - Phone:440-250-2773
Mailing Address - Fax:440-899-6219
Practice Address - Street 1:29501 W OAKLAND RD
Practice Address - Street 2:
Practice Address - City:BAY VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44140-1843
Practice Address - Country:US
Practice Address - Phone:440-250-2773
Practice Address - Fax:440-899-6219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No347C00000XTransportation ServicesPrivate Vehicle