HAVEN OF COTTONWOOD, LLC
NPI 1679810915
Skilled Nursing Facility in Cottonwood, AZ

Active since January 07, 2013CLIA 03D0534161 · Waiver
197 S WILLARD ST, COTTONWOOD, AZ 86326(928) 634-5548(928) 634-9602 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Dec 31, 2024, Dec 27, 2024 and 6 more (9 updates tracked since 2017).

About Haven Of Cottonwood, Llc NPPES

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

HAVEN OF COTTONWOOD, LLC (NPI 1679810915) is a healthcare organization registered as a skilled nursing facility in Cottonwood, Arizona and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Brett P Robertson, President, as its authorized official.

NPPES Registry Identity

NPI1679810915
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAVEN OF COTTONWOOD, LLC
Location Address197 S WILLARD STCottonwood, AZ 86326-4123
Mailing Address197 S Willard StCottonwood, AZ 86326-4123 · (928) 634-5548 · Fax (928) 634-9602
Fax(928) 634-9602
Organization SubpartYesParent: Haven Health Group Llc
Authorized OfficialBrett P RobertsonPresident · (480) 935-4300
Enumeration DateJanuary 7, 2013
Last NPPES UpdateMay 22, 20259 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
NPI 1679810915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AZ · NCI-2707
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
197 S WILLARD ST, Cottonwood, AZ 86326

Other Identifiers 1

Medicaid813280AZ

Accepted Insurance

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 03D0534161

Haven At Cottonwood · Cottonwood, AZ
Active · expires Aug 31, 2026
CLIA Number03D0534161
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLindsey Wenger
Laboratory Phone(928) 634-5548
Laboratory LocationHaven At Cottonwood197 S Willard St, Cottonwood, AZ 86326
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Occupational Therapy Assistant
197 S WILLARD ST
COTTONWOOD, AZ 86326
Physical Therapy Assistant
197 S WILLARD ST
COTTONWOOD, AZ 86326
Nurse Practitioner (Psychiatric/Mental Health)
197 S WILLARD ST
COTTONWOOD, AZ 86326
Occupational Therapy Assistant
197 S WILLARD ST
COTTONWOOD, AZ 86326
Occupational Therapist (Gerontology)
197 S WILLARD ST
COTTONWOOD, AZ 86326
Occupational Therapist
197 S WILLARD ST
COTTONWOOD, AZ 86326
Physical Therapist
197 S WILLARD ST
COTTONWOOD, AZ 86326
Skilled Nursing Facility
197 S WILLARD ST
COTTONWOOD, AZ 86326

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 Cottonwood, LLC's NPI number?

The NPI number for Haven Of Cottonwood, LLC is 1679810915. It was assigned to this organization in the NPPES registry on January 7, 2013.

Where is Haven Of Cottonwood, LLC located?

Haven Of Cottonwood, LLC is located at 197 S Willard St, Cottonwood, AZ 86326. The listed phone number is (928) 634-5548.

What is Haven Of Cottonwood, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Haven Of Cottonwood, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D0534161) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Haven Of Cottonwood, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Haven Of Cottonwood, 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 Cottonwood, LLC was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.