A WILLOW HAVEN
NPI 1447912175
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hazard, KY

Active since October 11, 2021
400 ELIZABETH DR, HAZARD, KY 41701(606) 505-7300 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About A Willow Haven NPPES

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

A WILLOW HAVEN (NPI 1447912175) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hazard, Kentucky and active in the NPI registry since October 2021. The organization lists Jory Wells, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1447912175
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameA WILLOW HAVEN
Location Address400 ELIZABETH DRHazard, KY 41701-1228
Mailing Address400 Elizabeth DrHazard, KY 41701-1228 · (606) 505-7300
Organization SubpartNo
Authorized OfficialJory WellsExecutive Director · (606) 505-7300
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
NPI 1447912175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

400 ELIZABETH DR, Hazard, KY 41701

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 A Willow Haven's NPI number?

The NPI number for A Willow Haven is 1447912175. It was assigned to this organization in the NPPES registry on October 11, 2021.

Where is A Willow Haven located?

A Willow Haven is located at 400 Elizabeth Dr, Hazard, KY 41701. The listed phone number is (606) 505-7300.

What is A Willow Haven's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for A Willow Haven was last updated on October 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.