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LAVERNE'S HAVEN RESIDENTIAL SERVICES
NPI 1760875728
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Eden, NC

Active since March 13, 2015
195 BROOKSIDE DR, EDEN, NC 27288(336) 627-3262 Get Directions Write a Review

NPPES record last updated: March 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Laverne's Haven Residential Services NPPES

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

LAVERNE'S HAVEN RESIDENTIAL SERVICES (NPI 1760875728) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Eden, North Carolina and active in the NPI registry since March 2015. The organization lists Jeffery Lynn Womack, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1760875728
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLAVERNE'S HAVEN RESIDENTIAL SERVICES
Location Address195 BROOKSIDE DREden, NC 27288-8123
Mailing Address7022 Lakeview TerDanville, VA 24540-8248 · (434) 489-2469
Phone(336) 627-3262
Organization SubpartNo
Authorized OfficialJeffery Lynn WomackOwner/operator · (434) 489-2469
Enumeration DateMarch 13, 2015
✔ NPI 1760875728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
195 BROOKSIDE DR, Eden, NC 27288
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Other Providers at the Same Location NPPES

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

JEFF WOMACK
Counselor (Mental Health)
195 BROOKSIDE DR
EDEN, NC 27288
Rockingham County (336) 627-3262

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 Laverne's Haven Residential Services's NPI number?

The NPI number for Laverne's Haven Residential Services is 1760875728. It was assigned to this organization in the NPPES registry on March 13, 2015.

Where is Laverne's Haven Residential Services located?

Laverne's Haven Residential Services is located at 195 Brookside Dr, Eden, NC 27288. The listed phone number is (336) 627-3262.

What is Laverne's Haven Residential Services's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Laverne's Haven Residential Services was last updated on March 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.