Provider Demographics
NPI:1811383904
Name:HALI'S HAVEN HOME HEALTH
Entity Type:Organization
Organization Name:HALI'S HAVEN HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:NATIKI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-426-4645
Mailing Address - Street 1:2226 19TH ST N
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35020-8841
Mailing Address - Country:US
Mailing Address - Phone:205-426-4645
Mailing Address - Fax:
Practice Address - Street 1:2226 19TH ST N
Practice Address - Street 2:
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35020-8841
Practice Address - Country:US
Practice Address - Phone:205-426-4645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty