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HAVEN OF HOPE EATING DISORDER CARE CENTER LLC
NPI 1619716768
Community Based Residential Treatment Facility, Mental Illness in Cordova, TN

Active since May 20, 2024CLIA Certified · 2 labs
890 N HOUSTON LEVEE RD, CORDOVA, TN 38018(732) 887-7136 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Haven Of Hope Eating Disorder Care Center Llc NPPES

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

HAVEN OF HOPE EATING DISORDER CARE CENTER LLC (NPI 1619716768) is a healthcare organization registered as a community based residential treatment facility, mental illness in Cordova, Tennessee and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Eli Fisch, Principal, as its authorized official.

NPPES Registry Identity

NPI1619716768
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHAVEN OF HOPE EATING DISORDER CARE CENTER LLC
Location Address890 N HOUSTON LEVEE RDCordova, TN 38018-6614
Mailing Address32 Cross St Ste 203Lakewood, NJ 08701-5572 · (732) 887-7136
Phone(732) 887-7136
Organization SubpartNo
Authorized OfficialEli FischPrincipal · (732) 887-7136
Enumeration DateMay 20, 2024
NPPES CertifiedMay 20, 2024
✔ NPI 1619716768 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.
890 N HOUSTON LEVEE RD, Cordova, TN 38018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 44D2319837

Haven Of Hope Eating Disorder Care Center LLC · Cordova, TN
Active · expires Mar 6, 2027
CLIA Number44D2319837
Laboratory TypeResidental Treatment Faci
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorDr. Sara E. Gramling-Vanscoy
Laboratory Phone(901) 399-9400
Laboratory LocationHaven Of Hope Eating Disorder Care Center LLC890 North Houston Levee Rd, Cordova, TN 38018
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 44D2345256

Haven Of Hope Eating Disorder Care Center LLC · Cordova, TN
Active · expires Jun 7, 2028
CLIA Number44D2345256
Laboratory TypeOut Patient Facility
Certificate Effective DateJune 8, 2026
Certificate Expiration DateJune 7, 2028
Laboratory DirectorSarah Gramling-Vanscoy
Laboratory Phone(901) 399-9400
Laboratory LocationHaven Of Hope Eating Disorder Care Center LLC671 N Ericson Rd, Cordova, TN 38018
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 4

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

DR. TERI H. MCCANN PH.D.
Psychologist
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (901) 757-7979
FAIRHAVEN HOLDINGS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (901) 757-7979
EMMA LANGSTON RIEBL MS
Counselor (Mental Health)
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (844) 757-7979
FAIRHAVEN TREATMENT CENTER
Community/Behavioral Health
890 N HOUSTON LEVEE RD
CORDOVA, TN 38018
Shelby County (901) 757-7979

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 Hope Eating Disorder Care Center LLC's NPI number?

The NPI number for Haven Of Hope Eating Disorder Care Center LLC is 1619716768. It was assigned to this organization in the NPPES registry on May 20, 2024.

Where is Haven Of Hope Eating Disorder Care Center LLC located?

Haven Of Hope Eating Disorder Care Center LLC is located at 890 N Houston Levee Rd, Cordova, TN 38018. The listed phone number is (732) 887-7136.

What is Haven Of Hope Eating Disorder Care Center LLC's specialty?

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

Does Haven Of Hope Eating Disorder Care Center LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Haven Of Hope Eating Disorder Care Center LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Haven Of Hope Eating Disorder Care Center 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 Hope Eating Disorder Care Center LLC was last updated on May 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.