Provider Demographics
NPI:1679273502
Name:HAVEN HOMECARE NEW ENGLAND LLC
Entity Type:Organization
Organization Name:HAVEN HOMECARE NEW ENGLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CARE CARE-GIVING OFFICER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFORI-AMANFO
Authorized Official - Suffix:
Authorized Official - Credentials:RN-BSN
Authorized Official - Phone:508-921-0039
Mailing Address - Street 1:100 BOSTON TPKE STE J9B-298
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-3601
Mailing Address - Country:US
Mailing Address - Phone:508-921-0039
Mailing Address - Fax:
Practice Address - Street 1:100 BOSTON TPKE STE J9B-298
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:MA
Practice Address - Zip Code:01545-3601
Practice Address - Country:US
Practice Address - Phone:508-921-0039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care