HAVEN OF LAKE HAVASU, LLC
NPI 1366978603
Skilled Nursing Facility in Lake Havasu City, AZ

Active since May 05, 2017CLIA 03D0925836 · Waiver
3/5
Overall Rating
2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406(192) 850-5552(801) 296-5111 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Dec 31, 2024, Dec 27, 2024 and 2 more (5 updates tracked since 2020).

About Haven Of Lake Havasu, Llc NPPES

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

HAVEN OF LAKE HAVASU, LLC (NPI 1366978603), doing business as Haven Of Lake Havasu, is a healthcare organization registered as a skilled nursing facility in Lake Havasu City, Arizona and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through March 6, 2027 and lists Brett Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366978603
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF LAKE HAVASU, LLC
Location Address2781 OSBORN DRLake Havasu City, AZ 86406-8629
Mailing Address2781 Osborn DrLake Havasu City, AZ 86406-8629 · (192) 850-5552 · Fax (801) 296-5111
Fax(801) 296-5111
Organization SubpartYesParent: Haven Health Group Llc
Authorized OfficialBrett RobertsonCeo · (480) 935-4300
Enumeration DateMay 5, 2017
Last NPPES UpdateFebruary 10, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2026
NPI 1366978603 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.
2781 OSBORN DR, Lake Havasu City, AZ 86406

Other Names 1

Doing Business AsHaven Of Lake Havasu

Other Identifiers 1

Medicaid339439AZ

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 03D0925836

Haven Of Lake Havasu, LLC · Lake Havasu City, AZ
Active · expires Mar 6, 2027
CLIA Number03D0925836
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorChristine Wallin
Laboratory Phone(928) 505-5552
Laboratory LocationHaven Of Lake Havasu, LLC2781 Osborn Dr, Lake Havasu City, AZ 86406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Haven Of Lake Havasu (CMS certification number 035240), from CMS Care Compare.

Haven Of Lake Havasu

Nursing home · Lake Havasu City, AZ
3/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number035240
Certified Beds104 beds80 residents per day on average
Medicare & Medicaid Participant SinceFebruary 14, 1997
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
5/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
3/5
Staffing
Based on nursing staff hours relative to resident needs.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
46.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.68 · LPN 1 · RN 0.65
3.32 hrs per resident per day
Weekend Nurse Staffing
2.87 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
51.5%
Registered Nurse Turnover
69.2%
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Infection-Control Citations
0
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 11

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

Skilled Nursing Facility
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapy Assistant
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Occupational Therapy Assistant
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapist
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapist
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapy Assistant
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapy Assistant
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406
Physical Therapy Assistant
2781 OSBORN DR
LAKE HAVASU CITY, AZ 86406

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 Lake Havasu, LLC's NPI number?

The NPI number for Haven Of Lake Havasu, LLC is 1366978603. It was assigned to this organization in the NPPES registry on May 5, 2017. The provider is doing business as Haven of Lake Havasu.

Where is Haven Of Lake Havasu, LLC located?

Haven Of Lake Havasu, LLC is located at 2781 Osborn Dr, Lake Havasu City, AZ 86406. The listed phone number is (192) 850-5552.

What is Haven Of Lake Havasu, LLC's specialty?

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

Does Haven Of Lake Havasu, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0925836) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Haven Of Lake Havasu, LLC a Medicare-certified nursing home?

Yes. Haven Of Lake Havasu is a Medicare-certified nursing home with 104 certified beds.

What quality rating does Haven Of Lake Havasu, LLC have?

CMS rates Haven Of Lake Havasu 3 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Haven Of Lake Havasu, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Haven Of Lake Havasu, 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 Lake Havasu, LLC was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.