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HAVEN HOUSE, INC .
NPI 1265416994
Substance Abuse Rehabilitation Facility in Elkton, MD

Active since December 06, 2005CLIA 21D2076252 · Waiver
1195 AUGUSTINE HERMAN HWY, ELKTON, MD 21921(410) 398-9900 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Haven House, Inc . NPPES

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

HAVEN HOUSE, INC . (NPI 1265416994) is a healthcare organization registered as a substance abuse rehabilitation facility in Elkton, Maryland and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through April 14, 2028 and lists Jessie Costley, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1265416994
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHAVEN HOUSE, INC .
Location Address1195 AUGUSTINE HERMAN HWYElkton, MD 21921-8252
Mailing Address1195 Augustine Herman Hwy, Po Box 723Elkton, MD 21921-8252 · (410) 398-9900
Phone(410) 398-9900
Organization SubpartNo
Authorized OfficialJessie CostleyCredentialing Specialist · (443) 839-6928
Enumeration DateDecember 6, 2005
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1265416994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MD · 8314
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1195 AUGUSTINE HERMAN HWY, Elkton, MD 21921
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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 21D2076252

Haven House, Inc · Elkton, MD
Active · expires Apr 14, 2028
CLIA Number21D2076252
Laboratory TypeOutpatient Sud Facility
Certificate Effective DateApril 15, 2026
Certificate Expiration DateApril 14, 2028
Laboratory DirectorJohn S. Foreaker
Laboratory Phone(443) 548-3733
Laboratory LocationHaven House, Inc1195 Augustine Herman Hwy, Elkton, MD 21921
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.

HAVEN HOUSE, INC .
Clinic/Center (Rehabilitation, Substance Use Disorder)
1195 AUGUSTINE HERMAN HWY
ELKTON, MD 21921
Cecil County (410) 398-9900

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 House, Inc .'s NPI number?

The NPI number for Haven House, Inc . is 1265416994. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Haven House, Inc . located?

Haven House, Inc . is located at 1195 Augustine Herman Hwy, Elkton, MD 21921. The listed phone number is (410) 398-9900.

What is Haven House, Inc .'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Haven House, Inc . hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2076252) is associated with this NPI, valid through April 14, 2028. 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 House, Inc . was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.