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HAVEN EEOI HOLDINGS LLC
NPI 1063119154
Home Health in Kingston, TN

Active since February 09, 2023CLIA 44D2330747 · Waiver
898 N KENTUCKY ST, KINGSTON, TN 37763(888) 891-0786 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2025, Jun 16, 2025, Apr 22, 2024 and 1 more (4 updates tracked since 2023).

About Haven Eeoi Holdings Llc NPPES

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

HAVEN EEOI HOLDINGS LLC (NPI 1063119154), doing business as Haven Specialty Home Care, is a healthcare organization registered as a home health in Kingston, Tennessee and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Jamin Ruark, Manager, as its authorized official.

NPPES Registry Identity

NPI1063119154
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHAVEN EEOI HOLDINGS LLC
Location Address898 N KENTUCKY STKingston, TN 37763-2635
Mailing Address16165 N 83rd Ave Ste 200Peoria, AZ 85382-5816 · (866) 554-2836
Phone(888) 891-0786
Organization SubpartNo
Authorized OfficialJamin RuarkManager · (734) 560-8956
Enumeration DateFebruary 9, 2023
Last NPPES UpdateJune 23, 20254 updates tracked since enumeration
NPPES CertifiedJune 23, 2025
✔ NPI 1063119154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
898 N KENTUCKY ST, Kingston, TN 37763
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Other Names 1

Doing Business AsHaven Specialty Home Care

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 44D2330747

Haven Eeoi Holdings, LLC · Kingston, TN
Active · expires Sep 21, 2027
CLIA Number44D2330747
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorJamin Ruark
Laboratory Phone(866) 554-2836
Laboratory LocationHaven Eeoi Holdings, LLC898 N Kentucky St, Kingston, TN 37763
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eeoi Holdings LLC's NPI number?

The NPI number for Haven Eeoi Holdings LLC is 1063119154. It was assigned to this organization in the NPPES registry on February 9, 2023. The provider is doing business as Haven Specialty Home Care.

Where is Haven Eeoi Holdings LLC located?

Haven Eeoi Holdings LLC is located at 898 N Kentucky St, Kingston, TN 37763. The listed phone number is (888) 891-0786.

What is Haven Eeoi Holdings LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Haven Eeoi Holdings LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2330747) is associated with this NPI, valid through September 21, 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 Eeoi Holdings LLC was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.