HAVEN HOUSE, INC .
NPI 1265416994
Substance Abuse Rehabilitation Facility in Elkton, MD
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 21D2076252
- CLIA Cert. Type: Other - OUTPATIENT SUD FACILITY
- CLIA Exp. Date: 04-14-2028
About HAVEN HOUSE, INC .
This page provides the complete NPI Profile along with additional information for Haven House, Inc ., a provider established in Elkton, Maryland operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1265416994 assigned on December 2005. The practitioner's primary taxonomy code is 324500000X with license number 8314 (MD). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Jessie Costley (Credentialing Specialist)
- NPI
- 1265416994 Verify this NPI
- Provider Name
- HAVEN HOUSE, INC .
- Entity Type
- Organization
- Location Address
- 1195 AUGUSTINE HERMAN HWY ELKTON, MD 21921
- Location Phone
- (410) 398-9900
- Mailing Address
- 1195 AUGUSTINE HERMAN HWY PO BOX 723 ELKTON, MD 21921
- Mailing Phone
- (410) 398-9900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-06-2005
- Last Update Date
- 07-25-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 8314
- License State
- MD
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2076252
- Facility Type
- Other - OUTPATIENT SUD FACILITY
- Certificate Effective Date
- April 15, 2026
- Certificate Expiration Date
- April 14, 2028
- Laboratory Director
- JOHN S. FOREAKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Haven House, Inc . to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
ELKTON, MD 21921
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265416994, enumerated as an "organization" on December 06, 2005.
The provider is located at 1195 AUGUSTINE HERMAN HWY ELKTON, MD 21921 and the phone number is (410) 398-9900.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
