THE HAVEN HALFWAY HOUSE, LLC NPI 1003010125

Substance Abuse Rehabilitation Facility in Saint Joseph, MN

About THE HAVEN HALFWAY HOUSE, LLC

The Haven Halfway House, Llc is a provider in Saint Joseph, MN. The NPI number assigned to this provider is 1003010125. The practitioner's primary taxonomy code is Substance Abuse Rehabilitation Facility (324500000X). The provider is registered as an organization and their NPI record was last updated 11 years ago.

NPI1003010125 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTHE HAVEN HALFWAY HOUSE, LLC
Provider Location Address32524 MEADOW LN SAINT JOSEPH, MN 56374 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address32524 MEADOW LN SAINT JOSEPH, MN 56374 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization 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 Date06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

THE HAVEN HALFWAY HOUSE, LLC
32524 MEADOW LN
SAINT JOSEPH, MN
ZIP 56374
Phone: (320) 202-7881
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Mailing Address

THE HAVEN HALFWAY HOUSE, LLC
32524 MEADOW LN
SAINT JOSEPH, MN
ZIP 56374
Phone: (320) 293-3418

Primary Taxonomy

Taxonomy Code324500000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSubstance Abuse Rehabilitation Facility
TypeResidential Treatment Facilities
License No.1044351
License StateMN
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameMR. 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 TitleCHIEF EXECUTIVE OFFICER
Authorized Official Phone(320) 293-3418

Map Location


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