HAVEN DETOX LR OPERATING SUBSIDIARY, LLC
NPI 1902755341
Psychiatric Residential Treatment Facility in Little Rock, AR

Active since January 27, 2026CLIA Certified · 2 labs
5201 STAGECOACH RD, LITTLE ROCK, AR 72204(501) 406-0903 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Mar 25, 2026, Jan 27, 2026 (3 updates tracked since 2026).

About Haven Detox Lr Operating Subsidiary, Llc NPPES

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

HAVEN DETOX LR OPERATING SUBSIDIARY, LLC (NPI 1902755341) is a healthcare organization registered as a psychiatric residential treatment facility in Little Rock, Arkansas and active in the NPI registry since January 2026. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in North Little Rock, and lists Tara Gurney, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1902755341
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameHAVEN DETOX LR OPERATING SUBSIDIARY, LLC
Location Address5201 STAGECOACH RDLittle Rock, AR 72204-8515
Mailing Address2925 10th Ave NPalm Springs, FL 33461-3000
Organization SubpartNo
Authorized OfficialTara GurneyAuthorized Official · (561) 517-3400
Enumeration DateJanuary 27, 2026
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1902755341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
5201 STAGECOACH RD, Little Rock, AR 72204

Secondary Practice Location 1

Location 1111 Smarthouse WayNorth Little Rock, AR 72114-5575 · Phone (501) 406-0903

CLIA Laboratory Certificates CMS CLIA 2

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 04D2281682

Haven Detox Lr Operating Subsidiary LLC, The · Little Rock, AR
Active · expires May 9, 2027
CLIA Number04D2281682
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorDr. Jason Talburt
Laboratory Phone(561) 307-1212
Laboratory LocationHaven Detox Lr Operating Subsidiary LLC, The5201 Stagecoach Road, Little Rock, AR 72204
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 04D2320631

Haven Detox Lr Operating Subsidiary LLC · North Little Rock, AR
Active · expires Mar 20, 2027
CLIA Number04D2320631
Laboratory TypeSubstance Abuse Facility
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorDr. Jason Talburt
Laboratory Phone(561) 307-1212
Laboratory LocationHaven Detox Lr Operating Subsidiary LLC111 Smart House Drive, North Little Rock, AR 72114
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
5201 STAGECOACH RD
LITTLE ROCK, AR 72204
Psychiatry & Neurology (Addiction Psychiatry)
5201 STAGECOACH RD
LITTLE ROCK, AR 72204
Nurse Practitioner (Psychiatric/Mental Health)
5201 STAGECOACH RD
LITTLE ROCK, AR 72204
Psychiatric Residential Treatment Facility
5201 STAGECOACH RD
LITTLE ROCK, AR 72204

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 Detox Lr Operating Subsidiary, LLC's NPI number?

The NPI number for Haven Detox Lr Operating Subsidiary, LLC is 1902755341. It was assigned to this organization in the NPPES registry on January 27, 2026.

Where is Haven Detox Lr Operating Subsidiary, LLC located?

Haven Detox Lr Operating Subsidiary, LLC is located at 5201 Stagecoach Rd, Little Rock, AR 72204. The listed phone number is (501) 406-0903.

What is Haven Detox Lr Operating Subsidiary, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Haven Detox Lr Operating Subsidiary, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Haven Detox Lr Operating Subsidiary, LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.