ETERNAL HAVEN LLC
NPI 1184489460
Community/Behavioral Health in Concord, NC

Q: What is Eternal Haven LLC's NPI number?

The NPI number for Eternal Haven LLC is 1184489460. It was assigned to this organization in the NPPES registry on February 16, 2024.

Q: What is Eternal Haven LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Eternal Haven LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 16, 2024

4111 ZEBULON AVE SW, CONCORD, NC 28027(704) 796-1156 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eternal Haven Llc NPPES

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

ETERNAL HAVEN LLC (NPI 1184489460) is a healthcare organization registered as a community/behavioral health in Concord, North Carolina and active in the NPI registry since February 2024. The organization lists Brandon Blasse, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1184489460

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameETERNAL HAVEN LLC

Location Address4111 ZEBULON AVE SWConcord, NC 28027-9209

Mailing Address4111 Zebulon Ave SwConcord, NC 28027-9209 · (704) 796-1156

Phone(704) 796-1156

Organization SubpartNo

Authorized OfficialBrandon BlasseExecutive Director · (704) 796-1156

Enumeration DateFebruary 16, 2024

Last NPPES UpdateOctober 28, 2025

NPPES CertifiedOctober 28, 2025

✔ NPI 1184489460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

4111 ZEBULON AVE SW, Concord, NC 28027

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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 Eternal Haven LLC's NPI number?

The NPI number for Eternal Haven LLC is 1184489460. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Eternal Haven LLC located?

Eternal Haven LLC is located at 4111 Zebulon Ave SW, Concord, NC 28027. The listed phone number is (704) 796-1156.

What is Eternal Haven LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Eternal Haven LLC was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.