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HAVEN ARIZONA, LLC
NPI 1487436796
Substance Abuse Rehabilitation Facility in Green Valley, AZ

Active since October 20, 2023
3161 S PROSPEROUS PL, GREEN VALLEY, AZ 85614(561) 635-2400 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Dec 2, 2024, Oct 20, 2023 (3 updates tracked since 2023).

About Haven Arizona, Llc NPPES

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

HAVEN ARIZONA, LLC (NPI 1487436796) is a healthcare organization registered as a substance abuse rehabilitation facility in Green Valley, Arizona and active in the NPI registry since October 2023. The organization lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1487436796
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameHAVEN ARIZONA, LLC
Location Address3161 S PROSPEROUS PLGreen Valley, AZ 85614-6403
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Phone(561) 635-2400
Organization SubpartNo
Authorized OfficialKirill VesselovPresident · (561) 396-5849
Enumeration DateOctober 20, 2023
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1487436796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedPsychiatric HospitalTaxonomy 283Q00000X
3161 S PROSPEROUS PL, Green Valley, AZ 85614
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Other Providers at the Same Location NPPES 3

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

HAVEN ARIZONA OPERATING SUBSIDIARY, LLC
Substance Abuse Rehabilitation Facility
3161 S PROSPEROUS PL
GREEN VALLEY, AZ 85614
Pima County (520) 399-7596
KYLIE REIN LCSW
Social Worker (Clinical)
3161 S PROSPEROUS PL
GREEN VALLEY, AZ 85614
Pima County (520) 399-7596
MM&J HEALTHCARE SERVICES LLC
Assisted Living Facility
3161 S PROSPEROUS PL
GREEN VALLEY, AZ 85614
Pima County (480) 938-2000

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 Arizona, LLC's NPI number?

The NPI number for Haven Arizona, LLC is 1487436796. It was assigned to this organization in the NPPES registry on October 20, 2023.

Where is Haven Arizona, LLC located?

Haven Arizona, LLC is located at 3161 S Prosperous Pl, Green Valley, AZ 85614. The listed phone number is (561) 635-2400.

What is Haven Arizona, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Haven Arizona, LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.