HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY
NPI 1104447770
Community/Behavioral Health in Maricopa, AZ

NPI Status: Active since May 05, 2020

Contact Information

43284 W ARIZONA AVE
MARICOPA, AZ
ZIP 85138
Phone: (520) 350-4697

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  • Organization
  • Community/Behavioral Health

About HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY

This page provides the complete NPI Profile along with additional information for Haven Community And Social Services Agency, a provider established in Maricopa, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1104447770 assigned on May 2020. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tamla D Alexander (President/ceo)

NPI
1104447770
Provider Name
HAVEN COMMUNITY AND SOCIAL SERVICES AGENCY
Entity Type
Organization
Location Address
43284 W ARIZONA AVE MARICOPA, AZ 85138
Location Phone
(520) 350-4697
Mailing Address
43284 W ARIZONA AVE MARICOPA, AZ 85138
Mailing Phone
(520) 350-4697
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-05-2020
Last Update Date
11-27-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1385H00000XRespite Care Facility

Respite Care

 
2385HR2055XRespite Care Facility

Respite Care
Respite Care, Mental Illness, Child

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TAMLA D ALEXANDER

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(520) 350-4697

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
265556MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104447770
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21048414714
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 8 + 4 + 1 + 4 + 7 + 1 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1104447770 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366978462 TAMLA ALEXANDER
Individual
Residential Treatment Facility, Emotionally Disturbed Children43284 W ARIZONA AVE
MARICOPA, AZ 85138
(520) 350-4697
1083141980 GIOCONDA HERRERA RN
Individual
Registered Nurse43284 W ARIZONA AVE
MARICOPA, AZ 85138
(520) 350-4697
1811466196 YAUNDI MAEWEATHER
Individual
Behavior Technician43284 W ARIZONA AVE
MARICOPA, AZ 85138
(520) 350-4697
1184223802 DENNIS BROOKS
Individual
Psychiatric Residential Treatment Facility43284 W ARIZONA AVE
MARICOPA, AZ 85138
(470) 302-2964
1184154072DAY STARZ GROUP HOME, INC.
Organization
Psychiatric Residential Treatment Facility43284 W ARIZONA AVE
MARICOPA, AZ 85138
(520) 350-4697

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104447770, enumerated in the NPI registry as an "organization" on May 05, 2020

The provider is located at 43284 W Arizona Ave Maricopa, Az 85138 and the phone number is (520) 350-4697

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.