1. Home
  2. Directory
  3. NPI Profile

OAK HAVEN ASSISTED CARE LIVING FACILITY L.L.C.
NPI 1629384839
Assisted Living Facility in Huron, TN

Active since August 25, 2010CLIA 44D2197005 · Waiver
1460 CRUCIFER RD, HURON, TN 38345(731) 968-2596(731) 968-2596 Get Directions Write a Review

NPPES record last updated: August 25, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Oak Haven Assisted Care Living Facility L.l.c. NPPES

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

OAK HAVEN ASSISTED CARE LIVING FACILITY L.L.C. (NPI 1629384839) is a healthcare organization registered as an assisted living facility in Huron, Tennessee and active in the NPI registry since August 2010. The organization holds a CLIA Waiver certificate valid through October 20, 2026 and lists Angela D Wood, Manager, as its authorized official.

NPPES Registry Identity

NPI1629384839
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOAK HAVEN ASSISTED CARE LIVING FACILITY L.L.C.
Location Address1460 CRUCIFER RDHuron, TN 38345-6989
Mailing Address1460 Crucifer RdHuron, TN 38345-6989 · (731) 968-2596 · Fax (731) 968-2596
Phone(731) 968-2596
Fax(731) 968-2596
Organization SubpartNo
Authorized OfficialAngela D WoodManager · (731) 968-2596
Enumeration DateAugust 25, 2010
✔ NPI 1629384839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TN · ACL0000000118
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1460 CRUCIFER RD, Huron, TN 38345
Open in Google Maps ↗

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 44D2197005

Oak Haven Assisted Care Living Facility, LLC · Huron, TN
Active · expires Oct 20, 2026
CLIA Number44D2197005
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorTimothy Mark Stanfill
Laboratory Phone(731) 614-0008
Laboratory LocationOak Haven Assisted Care Living Facility, LLC1460 Crucifer Road, Huron, TN 38345
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Oak Haven Assisted Care Living Facility L.L.C.'s NPI number?

The NPI number for Oak Haven Assisted Care Living Facility L.L.C. is 1629384839. It was assigned to this organization in the NPPES registry on August 25, 2010.

Where is Oak Haven Assisted Care Living Facility L.L.C. located?

Oak Haven Assisted Care Living Facility L.L.C. is located at 1460 Crucifer Rd, Huron, TN 38345. The listed phone number is (731) 968-2596.

What is Oak Haven Assisted Care Living Facility L.L.C.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Oak Haven Assisted Care Living Facility L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2197005) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Oak Haven Assisted Care Living Facility L.L.C. was last updated on August 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.