Provider Demographics
NPI:1578270906
Name:HAVEN SPRINGS HOME CARE LLC
Entity Type:Organization
Organization Name:HAVEN SPRINGS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:346-418-9897
Mailing Address - Street 1:PO BOX 1372
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77410-1372
Mailing Address - Country:US
Mailing Address - Phone:346-418-9897
Mailing Address - Fax:
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 225
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3449
Practice Address - Country:US
Practice Address - Phone:346-367-3705
Practice Address - Fax:346-570-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care