Provider Demographics
NPI:1740851443
Name:HAVEN ADULT DAYCARE & TRANSPORTATION
Entity type:Organization
Organization Name:HAVEN ADULT DAYCARE & TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-815-2759
Mailing Address - Street 1:7930 BROADWAY ST STE 118
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-7942
Mailing Address - Country:US
Mailing Address - Phone:832-598-2587
Mailing Address - Fax:832-243-5594
Practice Address - Street 1:7930 BROADWAY ST STE 118
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-7942
Practice Address - Country:US
Practice Address - Phone:832-598-2587
Practice Address - Fax:832-243-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-05
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care