HAVEN CHEMICAL HEALTH SYSTEMS, LLC (NPI# 1952464547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952464547 |
| Entity Type | Organization |
| Organization Name | HAVEN CHEMICAL HEALTH SYSTEMS, LLC |
| Other Organization Name | REBECCA RESIDENCE SCANDIA |
| Practice Address |
21077 Penrose Ave N Scandia MN 55073-9710 |
| Mailing Address |
2042 Wooddale Dr Suite 220 Woodbury MN 55125-2981 |
| Practice Telephone | 6514335839 |
| Practice Fax Number | 6514335921 |
| Mailing Telephone | 6517349633 |
| Mailing Fax Number | 6517349533 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT HAVEN (PRESIDENT) |
| Authorized Official Telephone | 6517349633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1024597-1-CDT | MN | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Rebecca Residence Scandia | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104082114 | Haven Chemical Health Systems, LLC | Substance Abuse Rehabilitation Facility | 22355 Albatross Cir, Farmington, MN 55024-9537 | 2008-07-30 |
| 1801959499 | Haven Chemical Health Systems, LLC | Counselor | 2535 Condon Ct, Mendota Heights, MN 55120-1679 | 2006-12-18 |
| 1477616068 | Haven Chemical Health Systems, LLC | Counselor | 1003 Cloquet Ave, Suite 117, Cloquet, MN 55720-1694 | 2006-12-18 |
| 1225191893 | Haven Chemical Health Systems, LLC | Counselor | 2042 Wooddale Dr, Suite #220, Woodbury, MN 55125-2981 | 2006-12-18 |
| 1073676672 | Haven Chemical Health Systems, LLC | Counselor | 235 First Avenue East, Shakopee, MN 55379 | 2006-12-18 |
| Street Address |
21077 PENROSE AVE N |
| City | SCANDIA |
| State | MN |
| Zip Code | 55073-9710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194886630 | Scandia Family Dental Pa | Dentist | 21080 Olinda Trail N, Scandia, MN 55073 | 2006-12-12 |
| 1669517579 | Jennifer Jo Laberge | Dentist | 21080 Olinda Trail N, Scandia, MN 55073 | 2007-02-20 |
| 1043833247 | Heart To Heart Home Care LLC | In Home Supportive Care | 24610 Kestrel Ave, Scandia, MN 55073-2706 | 2020-05-21 |
| 1104339399 | Kelsey Marie Kim Nelson | Registered Nurse | 21050 Newberry Ave N, Scandia, MN 55073-9103 | 2017-11-09 |
| 1033284815 | Michael F Mcgrane | Social Worker | 22797 Meadowbrook Ave N, Scandia, MN 55073-9429 | 2006-11-21 |
| 1700195542 | Ladd Memorial Hospital | Clinic/Center | 21150 Ozark Ave N, Scandia, MN 55073-9447 | 2010-09-28 |
| 1528443421 | Heidi Goelz | Occupational Therapist | 21393 Novak Ave N, Scandia, MN 55073-9451 | 2015-07-21 |
| 1730428699 | Roger John Casey Jr. | Counselor | 12280 228th St N, Scandia, MN 55073-9467 | 2013-02-12 |
| 1528103041 | Leland James Kendrick | Chiropractor | 21080 Olinda Trl N, Box 4, Scandia, MN 55073-9492 | 2007-02-21 |
| 1215374061 | Stephanie Rachel Martell | Chiropractor | 21080 Olinda Trl N, Scandia, MN 55073-9492 | 2013-06-03 |
| Find all providers in zip 55073 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730428699 | Roger John Casey Jr. | Counselor | 12280 228th St N, Scandia, MN 55073-9467 | 2013-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386456 | Alexandra Lloyd Conroy | Counselor | 3227 Lake Shore Boulevard, Minnetonka, MN 55391 | 2020-11-07 |
| 1134720212 | Rachel Renee Przekwas | Counselor | 216 Center St W Ste 101, Roseau, MN 56751-1494 | 2020-11-04 |
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1215537477 | Hannah Mae Kidder | Counselor | 1605 Welcome Ave N, Golden Valley, MN 55422-4429 | 2020-10-27 |
| 1649879339 | Jordan Lowe | Counselor | 4615 Grand Ave Ste 300, Duluth, MN 55807-2749 | 2020-10-22 |
| 1417556762 | Jacob R Poppinga | Counselor | 13045 Falcon Dr Ste 7404th, Baxter, MN 56425-4201 | 2020-10-19 |
| 1598362014 | Jeremy Krekula | Counselor | 102 Main St N Ste 100, Stewartville, MN 55976-2608 | 2020-10-07 |
| 1235736786 | Catherine Ann Jaksha | Counselor | 1180 Cushing Cir Apt 217, Saint Paul, MN 55108-5016 | 2020-10-07 |
| 1952908881 | Sutton Outpatient Services, LLC | Counselor | 1700 Livingston Ave Ste 120, West St Paul, MN 55118-5938 | 2020-10-05 |
| 1750998423 | Recovery Alliance Duluth | Counselor | 206 W 4th St Ste 203, Duluth, MN 55806-2659 | 2020-09-28 |
| 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.