THE HAVEN HALFWAY HOUSE, LLC NPI 1003010125

Substance Abuse Rehabilitation Facility

THE HAVEN HALFWAY HOUSE, LLC

The Haven Halfway House, Llc is a substance abuse rehabilitation facility in Saint Joseph, MN. The Haven Halfway House, Llc NPI is 1003010125. The provider's taxonomy code is 324500000X - 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.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003010125
Provider Name: THE HAVEN HALFWAY HOUSE, LLC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: MR. THOMAS RUSSELL AUSTAD LADC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: CHIEF EXECUTIVE OFFICER
Authorized Official Phone: (320) 293-3418


Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1324500000X Additional informationCallout TooltipTaxonomy Code - 324500000X
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.
Residential Treatment FacilitiesSubstance Abuse Rehabilitation Facility1044351MNYes

Map Location


THE HAVEN HALFWAY HOUSE, LLC address is 32524 MEADOW LN SAINT JOSEPH, MN 56374 Get Directions