Provider Demographics
NPI:1134954175
Name:CARE HAVEN LLC
Entity type:Organization
Organization Name:CARE HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:PILIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MWASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-704-0772
Mailing Address - Street 1:1506 W PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76013-6230
Mailing Address - Country:US
Mailing Address - Phone:817-704-0772
Mailing Address - Fax:817-704-0708
Practice Address - Street 1:1506 W PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76013-6230
Practice Address - Country:US
Practice Address - Phone:817-704-0772
Practice Address - Fax:817-704-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty