Provider Demographics
NPI:1821816000
Name:HAYNES EQUITY VENTURES LL
Entity type:Organization
Organization Name:HAYNES EQUITY VENTURES LL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-338-9144
Mailing Address - Street 1:15811 OAKHILL RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-2920
Mailing Address - Country:US
Mailing Address - Phone:216-338-9144
Mailing Address - Fax:
Practice Address - Street 1:15811 OAKHILL RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-2920
Practice Address - Country:US
Practice Address - Phone:216-338-9144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company
No251E00000XAgenciesHome Health