HAVEN OF LAKESIDE, LLC
NPI 1447657994
Skilled Nursing Facility in Lakeside, AZ

Active since November 28, 2014
3401 LOCKWOOD DR, LAKESIDE, AZ 85929(801) 296-5100 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2026, May 22, 2025, Dec 31, 2024 and 5 more (8 updates tracked since 2017).

About Haven Of Lakeside, Llc NPPES

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

HAVEN OF LAKESIDE, LLC (NPI 1447657994), doing business as Haven Health Lakeside, is a healthcare organization registered as a skilled nursing facility in Lakeside, Arizona and active in the NPI registry since November 2014. The organization lists Brett Robertson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447657994
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF LAKESIDE, LLC
Location Address3401 LOCKWOOD DRLakeside, AZ 85929-5613
Mailing Address3401 Lockwood DrLakeside, AZ 85929-5613 · (801) 296-5100
Organization SubpartYesParent: Haven Health Group Llc
Authorized OfficialBrett RobertsonCeo · (480) 935-4300
Enumeration DateNovember 28, 2014
Last NPPES UpdateJanuary 23, 20268 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
NPI 1447657994 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.
3401 LOCKWOOD DR, Lakeside, AZ 85929

Other Names 1

Doing Business AsHaven Health Lakeside

Other Identifiers 1

Medicaid048299AZ

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 03D2189424

Haven Of Lakeside · Lakeside, AZ
Expired · Jul 29, 2026
CLIA Number03D2189424
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 30, 2024
Certificate Expiration DateJuly 29, 2026
Laboratory DirectorCatalina Browning
Laboratory Phone(928) 368-2060
Laboratory LocationHaven Of Lakeside3401 N Lockwood Dr, Lakeside, AZ 85929
CLIA data matches this NPI record on: Name
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.

Family Medicine
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Skilled Nursing Facility
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Occupational Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Physical Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Family Medicine
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Occupational Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Skilled Nursing Facility
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Specialist/Technologist (Speech-Language Assistant)
3401 LOCKWOOD DR
LAKESIDE, AZ 85929

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 Lakeside, LLC's NPI number?

The NPI number for Haven Of Lakeside, LLC is 1447657994. It was assigned to this organization in the NPPES registry on November 28, 2014. The provider is doing business as Haven Health Lakeside.

Where is Haven Of Lakeside, LLC located?

Haven Of Lakeside, LLC is located at 3401 Lockwood Dr, Lakeside, AZ 85929. The listed phone number is (801) 296-5100.

What is Haven Of Lakeside, LLC's specialty?

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

What insurance does Haven Of Lakeside, LLC accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Haven Of Lakeside, 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 Lakeside, LLC was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.