HAVEN OF DOUGLAS, LLC
NPI 1073850319
Skilled Nursing Facility in Douglas, AZ
About Haven Of Douglas, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HAVEN OF DOUGLAS, LLC (NPI 1073850319) is a healthcare organization registered as a skilled nursing facility in Douglas, Arizona and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Brett P Robertson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 03D0874124
Haven Of Douglas, LLC · Douglas, AZOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Of Douglas, LLC's NPI number?
The NPI number for Haven Of Douglas, LLC is 1073850319. It was assigned to this organization in the NPPES registry on January 7, 2013.
Where is Haven Of Douglas, LLC located?
Haven Of Douglas, LLC is located at 1400 N San Antonio Ave, Douglas, AZ 85607. The listed phone number is (520) 364-7937.
What is Haven Of Douglas, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Haven Of Douglas, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D0874124) is associated with this NPI, valid through August 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Haven Of Douglas, LLC accept?
Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Haven Of Douglas, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Haven Of Douglas, LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.