HAVEN POINTE L3C
NPI 1376187617
Community Based Residential Treatment Facility, Mental Illness in Chicago, IL

Active since October 30, 2019
4056 W 115TH ST APT 100, CHICAGO, IL 60655(773) 559-6764 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Haven Pointe L3c NPPES

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

HAVEN POINTE L3C (NPI 1376187617) is a healthcare organization registered as a community based residential treatment facility, mental illness in Chicago, Illinois and active in the NPI registry since October 2019. The organization lists Tanya L Ford, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1376187617
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAVEN POINTE L3C
Location Address4056 W 115TH ST APT 100Chicago, IL 60655-4333
Mailing Address4056 W 115th St Apt 100Chicago, IL 60655-4333 · (773) 559-6764
Organization SubpartNo
Authorized OfficialTanya L FordCeo/owner · (773) 559-6764
Enumeration DateOctober 30, 2019
NPI 1376187617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4056 W 115TH ST APT 100, Chicago, IL 60655

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 Pointe L3c's NPI number?

The NPI number for Haven Pointe L3c is 1376187617. It was assigned to this organization in the NPPES registry on October 30, 2019.

Where is Haven Pointe L3c located?

Haven Pointe L3c is located at 4056 W 115th St Apt 100, Chicago, IL 60655. The listed phone number is (773) 559-6764.

What is Haven Pointe L3c's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Haven Pointe L3c was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.