HETTIE'S HAVEN,LLC
NPI 1740705177
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Coeburn, VA

Q: What is Hettie's Haven,llc's NPI number?

The NPI number for Hettie's Haven,llc is 1740705177. It was assigned to this organization in the NPPES registry on August 7, 2017.

Q: What is Hettie's Haven,llc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since August 07, 2017

12108 RETFORD RD, COEBURN, VA 24230(276) 393-2530 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

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About Hettie's Haven,llc NPPES

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

HETTIE'S HAVEN,LLC (NPI 1740705177) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Coeburn, Virginia and active in the NPI registry since August 2017. The organization lists Terri Ann Tuck, Consultant, as its authorized official.

NPPES Registry Identity

NPI1740705177

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameHETTIE'S HAVEN,LLC

Location Address12108 RETFORD RDCoeburn, VA 24230-5910

Mailing Address12108 Retford RdCoeburn, VA 24230-5910 · (276) 393-2530

Phone(276) 393-2530

Organization SubpartNo

Authorized OfficialTerri Ann TuckConsultant · (540) 586-4023

Enumeration DateAugust 7, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1740705177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in VA · 2839-01-001

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

12108 RETFORD RD, Coeburn, VA 24230

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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 Hettie's Haven,llc's NPI number?

The NPI number for Hettie's Haven,llc is 1740705177. It was assigned to this organization in the NPPES registry on August 7, 2017.

Where is Hettie's Haven,llc located?

Hettie's Haven,llc is located at 12108 Retford Rd, Coeburn, VA 24230. The listed phone number is (276) 393-2530.

What is Hettie's Haven,llc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Hettie's Haven,llc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.