Provider Demographics
NPI:1598055402
Name:NATURE'S HAVEN, LLC
Entity Type:Organization
Organization Name:NATURE'S HAVEN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-831-0581
Mailing Address - Street 1:773 TOWNLINE ROAD 12
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:OH
Mailing Address - Zip Code:44837-9131
Mailing Address - Country:US
Mailing Address - Phone:419-681-6765
Mailing Address - Fax:
Practice Address - Street 1:773 TOWNLINE ROAD 12
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:OH
Practice Address - Zip Code:44837-9131
Practice Address - Country:US
Practice Address - Phone:419-681-6765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHEXEMPT261QB0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing