OAK HAVEN SPECIAL CARE, LLC (NPI# 1437679206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437679206 |
| Entity Type | Organization |
| Organization Name | OAK HAVEN SPECIAL CARE, LLC |
| Practice Address |
293 Bent Tree Ln Haslet TX 76052-3876 |
| Practice Telephone | (817) 825-8781 |
| Mailing Telephone | 8178258781 |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |
| Authorized Official Name | KALYN PETERSON (PRESIDENT) |
| Authorized Official Telephone | 8178258781 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
293 BENT TREE LN |
| City | HASLET |
| State | TX |
| Zip Code | 76052-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215487442 | Kalyn Peterson | Preferred Provider Organization | 293 Bent Tree Ln, Haslet, TX 76052-3876 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123481 | Coppell Spine & Sports Rehab Limited Partnership | Physical Therapist | 12520 Willow Springs Road, Building 3, Suite 104, Haslet, TX 76052 | 2020-01-10 |
| 1568954451 | Brian Rue | Physical Therapist | 12520 Willow Springs Rd, Bldg 3, #104, Haslet, TX 76052 | 2018-06-05 |
| 1831550334 | Haslet Family Dental Pllc | Dentist | 2412 Avondale Haslet Ro., Suite 100, Fort Worth, TX 76052 | 2016-03-10 |
| 1205293883 | William Shattuck, Dds, Pllc | Dentist | 295 Fm 156, Ste 200, Haslet, TX 76052 | 2016-01-27 |
| 1790155489 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 13901 Sendera Ranch Rd, Haslet, TX 76052 | 2015-10-07 |
| 1902203409 | Matthew Sapit | Physician Assistant | 13000 Chisholm Ranch Dr, Haslet, TX 76052 | 2014-11-26 |
| 1457750853 | Haslet Medical Center LLC | Clinic/Center | 13172 Nw Hwy 287, Fort Worth, TX 76052 | 2014-08-21 |
| 1972943355 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2401 Avondale Haslet, Fort Worth, TX 76052 | 2013-06-28 |
| 1356784110 | Pediatric Dentistry of Haslet, P.C. | Dentist | 544 Fm 156 South, Suite 100, Haslet, TX 76052 | 2013-04-11 |
| 1073866703 | Lisa Mari Cecil | Specialist | 10840 Texas Health Trail, Ste 110, Ft Worth, TX 76052 | 2012-10-18 |
| Find all providers in zip 76052 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140014 | Brenda Burford | Assisted Living Facility | 405 E Hondo Ave, Devine, TX 78016-3316 | 2020-09-25 |
| 1639782105 | Fredisolo Annointed Homes | Assisted Living Facility | 1400 Parkwood Trl, Mesquite, TX 75149-7604 | 2020-08-25 |
| 1518514850 | Czp Commercial Projects | Assisted Living Facility | 4414 Park Breeze Dr, Fresno, TX 77545-8605 | 2019-08-21 |
| 1083272603 | The Viera Senior Living | Assisted Living Facility | 3010 Airline Rd, Corpus Christi, TX 78414-3032 | 2019-05-29 |
| 1871082685 | Karla Hudson | Assisted Living Facility | 539 E Delz Dr, Houston, TX 77022-1703 | 2018-05-07 |
| 1427577444 | Thriving Hands Home Care | Assisted Living Facility | 3634 Colony Dr, San Antonio, TX 78230-3210 | 2017-09-11 |
| 1568987055 | Glatrick Annointed Hands of Care LLC | Assisted Living Facility | 14715 Foxbriar Ln, Frisco, TX 75035-1207 | 2017-08-07 |
| 1366991085 | Pinnacle Community Living | Assisted Living Facility | 243 Independence Spring Drive, Sherman, TX 75090-3335 | 2016-09-22 |
| 1447705579 | God Love Assisted Living Homes | Assisted Living Facility | 5623 W Harrow Dr, Houston, TX 77084-1869 | 2016-08-18 |
| 1790140861 | Milestone Personal Care Inc. | Assisted Living Facility | 10602 Chapel Hill Dr, Houston, TX 77099-3905 | 2015-12-16 |
| 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.