HAVEN OF SHOW LOW, LLC
NPI 1265779516
Skilled Nursing Facility in Show Low, AZ

Active since January 07, 2013
2401 E HUNT DR, SHOW LOW, AZ 85901(928) 537-5333(928) 537-1762 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Dec 31, 2024, Dec 12, 2024 and 5 more (8 updates tracked since 2017).

About Haven Of Show Low, Llc NPPES

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

HAVEN OF SHOW LOW, LLC (NPI 1265779516) is a healthcare organization registered as a skilled nursing facility in Show Low, Arizona and active in the NPI registry since January 2013. The organization lists Brett P Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265779516
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF SHOW LOW, LLC
Location Address2401 E HUNT DRShow Low, AZ 85901-7920
Mailing Address2401 E Hunt DrShow Low, AZ 85901-7920 · (928) 537-5333 · Fax (928) 537-1762
Fax(928) 537-1762
Organization SubpartYesParent: Haven Health Group Llc
Authorized OfficialBrett P RobertsonCeo · (480) 935-4300
Enumeration DateJanuary 7, 2013
Last NPPES UpdateMay 22, 20258 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1265779516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · NCI-2704
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.
2401 E HUNT DR, Show Low, AZ 85901

Other Identifiers 1

Medicaid813272AZ

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 03D0533596

Haven Of Show Low · Show Low, AZ
Expired · Jul 29, 2026
CLIA Number03D0533596
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorVindee Brogan
Laboratory Phone(928) 537-5333
Laboratory LocationHaven Of Show Low2401 E Hunt St, Show Low, AZ 85901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Physical Therapist
2401 E HUNT DR
SHOW LOW, AZ 85901
Speech-Language Pathologist
2401 E HUNT DR
SHOW LOW, AZ 85901
Internal Medicine
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Occupational Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Occupational Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901
Physical Therapy Assistant
2401 E HUNT DR
SHOW LOW, AZ 85901

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 Show Low, LLC's NPI number?

The NPI number for Haven Of Show Low, LLC is 1265779516. It was assigned to this organization in the NPPES registry on January 7, 2013.

Where is Haven Of Show Low, LLC located?

Haven Of Show Low, LLC is located at 2401 E Hunt Dr, Show Low, AZ 85901. The listed phone number is (928) 537-5333.

What is Haven Of Show Low, LLC's specialty?

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

What insurance does Haven Of Show Low, LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Haven Of Show Low, 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 Show Low, 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 15 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.