HAVEN OF PHOENIX, LLC
NPI 1215383237
Skilled Nursing Facility in Phoenix, AZ

Active since May 09, 2016
4202 N 20TH AVE, PHOENIX, AZ 85015(602) 264-3824 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Dec 31, 2024, Jun 14, 2024 and 5 more (8 updates tracked since 2016).

About Haven Of Phoenix, Llc NPPES

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

HAVEN OF PHOENIX, LLC (NPI 1215383237) is a healthcare organization registered as a skilled nursing facility in Phoenix, Arizona and active in the NPI registry since May 2016. The organization lists Brett P Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215383237
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF PHOENIX, LLC
Location Address4202 N 20TH AVEPhoenix, AZ 85015-5101
Mailing Address4202 N 20th AvePhoenix, AZ 85015-5101
Organization SubpartYesParent: Haven Health Group Llc
Authorized OfficialBrett P RobertsonCeo · (480) 935-4300
Enumeration DateMay 9, 2016
Last NPPES UpdateMay 22, 20258 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1215383237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
4202 N 20TH AVE, Phoenix, AZ 85015

Other Identifiers 1

Medicaid231351AZ

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 03D2189414

Haven Of Phoenix · Phoenix, AZ
Expired · Jul 29, 2026
CLIA Number03D2189414
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorBahaledin Ahmed
Laboratory Phone(602) 279-6234
Laboratory LocationHaven Of Phoenix4202 N 20th Ave, Phoenix, AZ 85015
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 8

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

Physical Therapist
4202 N 20TH AVE
PHOENIX, AZ 85015
Physical Therapist
4202 N 20TH AVE
PHOENIX, AZ 85015
Skilled Nursing Facility
4202 N 20TH AVE
PHOENIX, AZ 85015
Physical Medicine & Rehabilitation
4202 N 20TH AVE
PHOENIX, AZ 85015
Occupational Therapist
4202 N 20TH AVE
PHOENIX, AZ 85015
Physical Medicine & Rehabilitation
4202 N 20TH AVE
PHOENIX, AZ 85015
Occupational Therapist
4202 N 20TH AVE
PHOENIX, AZ 85015
Physical Therapy Assistant
4202 N 20TH AVE
PHOENIX, AZ 85015

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 Phoenix, LLC's NPI number?

The NPI number for Haven Of Phoenix, LLC is 1215383237. It was assigned to this organization in the NPPES registry on May 9, 2016.

Where is Haven Of Phoenix, LLC located?

Haven Of Phoenix, LLC is located at 4202 N 20th Ave, Phoenix, AZ 85015. The listed phone number is (602) 264-3824.

What is Haven Of Phoenix, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

What insurance does Haven Of Phoenix, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Haven Of Phoenix, 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 Phoenix, 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.