HAVEN DIRECT HEALTH SYSTEMS LLC
NPI 1043977176
Clinic/Center in Riverton, WY

Active since November 23, 2021CLIA 53D2245762 · Waiver
716 COLLEGE VIEW DR STE A, RIVERTON, WY 82501(307) 856-1189 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haven Direct Health Systems Llc NPPES

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

HAVEN DIRECT HEALTH SYSTEMS LLC (NPI 1043977176), doing business as Haven Direct Health, is a healthcare organization registered as a clinic/center in Riverton, Wyoming and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Jadell Hovander, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1043977176
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameHAVEN DIRECT HEALTH SYSTEMS LLC
Location Address716 COLLEGE VIEW DR STE ARiverton, WY 82501-2282
Mailing AddressPo Box 6066Riverton, WY 82501-0399 · (307) 856-1189
Organization SubpartNo
Authorized OfficialJadell HovanderManaging Member · (307) 856-1189
Enumeration DateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1043977176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
716 COLLEGE VIEW DR STE A, Riverton, WY 82501

Other Names 1

Doing Business AsHaven Direct Health

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2245762

Haven Direct Health Systems, LLC · Riverton, WY
Active · expires Dec 15, 2027
CLIA Number53D2245762
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorJadell Hovander
Laboratory Phone(307) 463-0113
Laboratory LocationHaven Direct Health Systems, LLC716 College View Dr, Riverton, WY 82501
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
716 COLLEGE VIEW DR STE A
RIVERTON, WY 82501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Direct Health Systems LLC's NPI number?

The NPI number for Haven Direct Health Systems LLC is 1043977176. It was assigned to this organization in the NPPES registry on November 23, 2021. The provider is doing business as Haven Direct Health.

Where is Haven Direct Health Systems LLC located?

Haven Direct Health Systems LLC is located at 716 College View Dr Ste A, Riverton, WY 82501. The listed phone number is (307) 856-1189.

What is Haven Direct Health Systems LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Haven Direct Health Systems LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2245762) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Haven Direct Health Systems LLC was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.