HOPE HAVEN (NPI# 1215375472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215375472 |
| Entity Type | Organization |
| Organization Name | HOPE HAVEN |
| Practice Address |
3602 Memorial Dr Madison WI 53704-1106 |
| Practice Telephone | 6082492600 |
| Practice Fax Number | 6082420021 |
| Mailing Telephone | 6082492600 |
| Mailing Fax Number | 6082420021 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | MARCIA MARIE LEASER (SUBSTANCE ABUSE COUNSELOR) |
| Authorized Official Telephone | 6085773112 |
| Authorized Official Credential | SAC |
| Is Organization Subpart | Y |
| Parent Organization Name | CATHOLIC CHARITIES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 115813-131 | WI | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOPE HAVEN ADULT TRAINING CENTER | 100 Lamar St, Tuscumbia, AL 35674 |
| Virginia Business Entities | Hope Haven Agriculture LLC | 452 Lenox, Oak Park, Illinois 60302 |
| Iowa Business Entities | HOPE HAVEN AREA DEVELOPMENT CENTER FOUNDATION | 828 North 7th Street, Burlington, IA 52601 |
| Washington State Corporations | HOPE HAVEN CARE HOMES, LLC | 14719 103rd Ave E, Puyallup, WA 98374-3702 |
| Washington State Corporations | HOPE HAVEN CHARITIES | 12900 2nd St, Dickinson, TX 77539-2745 |
| Oregon Corporations, Companies and Business Names | HOPE HAVEN COUNSELING | 3485 Eagle Crest Way, Baker City, OR 97814 |
| Oregon Corporations, Companies and Business Names | HOPE HAVEN COUNSELING LLC | 3485 Eaglecrest Way, Baker City, OR 97814 |
| Washington State Corporations | HOPE HAVEN COUNSELING LLC | 705 W 7th Ave Ste E, Spokane, WA 99204-2836 |
| Colorado Business Entities | Hope Haven Events, LLC | 4790 W 15600 N, Garland, UT 84312 |
| Ohio Business Entities | HOPE HAVEN FOR GIRLS | 4341 Springcreek Dr, Apt V, Dayton, OH 45405 |
| Street Address |
3602 MEMORIAL DR |
| City | MADISON |
| State | WI |
| Zip Code | 53704-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932537032 | Michael Pond | Student in an Organized Health Care Education/Training Program | 3602 Memorial Dr, Madison, WI 53704-1106 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407369614 | Joseph Michael Oakley II | Chiropractor | 2801 International Ln Ste 102, Madison, WI 53704 | 2017-11-09 |
| 1972015048 | Suzanne Lee | Psychiatry & Neurology | 1835 Winnebago St. #402, Madison, WI 53704 | 2017-10-30 |
| 1831554021 | Gideon Kazah | Licensed Practical Nurse | 2488 Dahle Street, Madison, WI 53704 | 2015-12-15 |
| 1174952220 | Group Health Cooperative of South Central Wisconsin Madison College | Durable Medical Equipment & Medical Supplies | 1705 Hoffman Street, Madison, WI 53704 | 2013-11-08 |
| 1407190127 | Ashley Marie Snyder | Social Worker | 5203 Autumn Leaf Lane, Apt. 389, Madison, WI 53704 | 2012-11-19 |
| 1619230638 | Dawn Lynette Butts | Optometrist | 4208 E Washington Ave, Madison, WI 53704 | 2012-06-25 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1578730412 | St. Charles Youth & Family Services | Community Based Residential Treatment Facility, Mental Illness | 310 Troy Dr, Cottage B, Madison, WI 53704 | 2008-05-09 |
| 1538346960 | Elizabeth Ann Reiser-loeber | Dentist | 1001 N. Sherman Ave, Madison, WI 53704 | 2008-01-28 |
| 1861683088 | Stephen Dale Flach | Internal Medicine | Covance, 3402 Kinsman Blvd, Madison, WI 53704 | 2007-08-05 |
| Find all providers in zip 53704 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629618483 | Tennessee Recovery Clinic LLC | Substance Abuse Rehabilitation Facility | 131 Edenwold Rd, Madison, TN 37115-2428 | 2020-01-09 |
| 1275681322 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 1600 Browns Ferry Road, Madison, AL 35758 | 2007-01-08 |
| 1952927717 | Arc Dayton | Substance Abuse Rehabilitation Facility | 2009 E Dayton St, Madison, WI 53704-4720 | 2020-06-17 |
| 1225650096 | Arc Maternal and Infant Program | Substance Abuse Rehabilitation Facility | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-05-14 |
| 1013261486 | Tellurian, Inc. | Substance Abuse Rehabilitation Facility | 2914 Industrial Dr, Madison, WI 53713-4047 | 2012-11-06 |
| 1285774711 | Addiction & Mental Health Services Inc | Substance Abuse Rehabilitation Facility | 1600 Browns Ferry Road, Madison, AL 35758 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114415908 | Iris Health Clinic LLC | Substance Abuse Rehabilitation Facility | 260 S Elm Grove Rd, Brookfield, WI 53005-6522 | 2018-04-26 |
| 1396259420 | Whole Life Services LLC | Substance Abuse Rehabilitation Facility | 819 Ash St Ste 150, Spooner, WI 54801-1201 | 2017-11-28 |
| 1306298740 | Phoenix Counseling | Substance Abuse Rehabilitation Facility | 64 S 4th St, Barron, WI 54812-1503 | 2016-07-11 |
| 1043684251 | Millenium Manor, LLC | Substance Abuse Rehabilitation Facility | 4509 Arthur Rd, Slinger, WI 53086-9603 | 2015-11-25 |
| 1780081174 | Psthways To A Better Life 1, LLC | Substance Abuse Rehabilitation Facility | 13111 Lax Chapel Rd, Kiel, WI 53042-3954 | 2014-12-01 |
| 1710304878 | Exodus Transitional Care Facility Inc. | Substance Abuse Rehabilitation Facility | 1421 Fond Du Lac Ave, Kewaskum, WI 53040-9136 | 2014-03-26 |
| 1558798686 | Friends of Women In Recovery Inc. | Substance Abuse Rehabilitation Facility | 166 S Park Ave, Fond Du Lac, WI 54935-4441 | 2013-10-03 |
| 1457784662 | The Pines Treatment & Recovery Center | Substance Abuse Rehabilitation Facility | N3387 State Road 73, Wautoma, WI 54982-5257 | 2013-08-12 |
| 1831464536 | Alcocare Inc. | Substance Abuse Rehabilitation Facility | 786 S Main St, Janesville, WI 53545-4852 | 2012-03-13 |
| 1548538275 | Options Counseling Services, LLC | Substance Abuse Rehabilitation Facility | 9433 County Rd J, Minocqua, WI 54548-9318 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
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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.