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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

URBAN HAVEN RETAIL LLC
NPI 1619874450
Durable Medical Equipment & Medical Supplies in Grand Prairie, TX

Active since October 23, 2026
115 NW 22ND ST, GRAND PRAIRIE, TX 75050(812) 665-4980 Get Directions Write a Review

NPPES record added: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Urban Haven Retail Llc NPPES

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

URBAN HAVEN RETAIL LLC (NPI 1619874450) is a healthcare organization registered as a durable medical equipment & medical supplies in Grand Prairie, Texas and active in the NPI registry since October 2026. The organization lists Gabrielle Naomi Valle, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619874450
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameURBAN HAVEN RETAIL LLC
Location Address115 NW 22ND STGrand Prairie, TX 75050-5090
Mailing Address117 Donahue St Apt 24Sausalito, CA 94965-1260
Phone(812) 665-4980
Organization SubpartNo
Authorized OfficialGabrielle Naomi ValleCeo · (812) 665-4980
Enumeration DateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1619874450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
115 NW 22ND ST, Grand Prairie, TX 75050
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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 Urban Haven Retail LLC's NPI number?

The NPI number for Urban Haven Retail LLC is 1619874450. It was assigned to this organization in the NPPES registry on October 23, 2026.

Where is Urban Haven Retail LLC located?

Urban Haven Retail LLC is located at 115 NW 22nd St, Grand Prairie, TX 75050. The listed phone number is (812) 665-4980.

What is Urban Haven Retail LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Urban Haven Retail LLC was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.