HAPPY HAVEN AZ LLC
NPI 1043846561
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since March 16, 2020
1110 W HADLEY ST, PHOENIX, AZ 85007(857) 200-7660(602) 675-1847 Get Directions Write a Review

NPPES record last updated: March 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Happy Haven Az Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAPPY HAVEN AZ LLC (NPI 1043846561) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since March 2020. The organization lists Gael Karomba, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043846561
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAPPY HAVEN AZ LLC
Location Address1110 W HADLEY STPhoenix, AZ 85007-3610
Mailing Address1110 W Hadley StPhoenix, AZ 85007-3610 · (857) 200-7660 · Fax (602) 675-1847
Fax(602) 675-1847
Organization SubpartNo
Authorized OfficialGael KarombaCeo · (857) 200-7660
Enumeration DateMarch 16, 2020
NPPES CertifiedMarch 16, 2020
NPI 1043846561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

1110 W HADLEY ST, Phoenix, AZ 85007

Other Identifiers 1

MedicaidBH6042AZ

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043846561, enumerated as an "organization" on March 16, 2020.

The provider is located at 1110 W HADLEY ST PHOENIX, AZ 85007 and the phone number is (857) 200-7660.

Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.