Provider Demographics
NPI:1780448373
Name:HEALHAVEN LLC
Entity type:Organization
Organization Name:HEALHAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JITHESH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMACHANDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-691-7202
Mailing Address - Street 1:14121 LARSON DR
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-6306
Mailing Address - Country:US
Mailing Address - Phone:617-691-7202
Mailing Address - Fax:
Practice Address - Street 1:10412 ALLISONVILLE RD STE 103
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2004
Practice Address - Country:US
Practice Address - Phone:732-423-1988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health