HAV -TAP, INC. (NPI# 1184951352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184951352 |
| Entity Type | Organization |
| Organization Name | HAV -TAP, INC. |
| Other Organization Name | THE HARBOR |
| Practice Address |
4100 Newport Ave Oklahoma City OK 73112-6334 |
| Practice Telephone | 4059434122 |
| Practice Fax Number | 4059478262 |
| Mailing Telephone | 4059434122 |
| Mailing Fax Number | 4059478262 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MR. ROBERT L. TACKETT (PRESIDENT) |
| Authorized Official Telephone | 4053063395 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | RC5521 | OK | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| The Harbor | Other Name - Individual/Organization |
| Street Address |
4100 NEWPORT AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962779256 | Barry Lee Gilliam Jr. | Case Manager/Care Coordinator | 4100 Newport Ave, Oklahoma City, OK 73112-6334 | 2011-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568855278 | Remember When Assisted Living, LLC | Assisted Living Facility | 5729 Nw 82nd St, Oklahoma City, OK 73132-4909 | 2015-03-05 |
| 1306243019 | Green Country Rehabilitation | Assisted Living Facility | 3535 Nw 58th St Ste 940, Oklahoma City, OK 73112-4802 | 2014-11-24 |
| 1184951329 | Community Counseling | Assisted Living Facility | 1700 Nw 17th St, Oklahoma City, OK 73106-4212 | 2009-11-09 |
| 1114181831 | Oklahoma Assisted Living, Ltd. | Assisted Living Facility | 14300 N Portland Ave, Oklahoma City, OK 73134-4030 | 2008-07-11 |
| 1023271798 | Saint Ann Retirement Center | Assisted Living Facility | 7501 W Britton Rd, Oklahoma City, OK 73132-1602 | 2008-07-03 |
| 1124294541 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2435 Nw 122nd St, Oklahoma City, OK 73120-8424 | 2008-05-06 |
| 1942476841 | Kgc Operator, Inc. | Assisted Living Facility | 10001 S May Ave, Oklahoma City, OK 73159-6600 | 2008-05-01 |
| 1083880983 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 12401 Dorset Dr, Oklahoma City, OK 73120-9190 | 2008-05-01 |
| 1447426259 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 2500 Sw 89th St, Oklahoma City, OK 73159-6354 | 2008-05-01 |
| 1497944292 | Quail Ridge Senior Development, LLC | Assisted Living Facility | 12401 Trail Oaks Dr, Oklahoma City, OK 73120-1701 | 2007-10-17 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.