HAVEN DETOX LR OPERATING SUBSIDIARY, LLC
NPI 1902755341
Psychiatric Residential Treatment Facility in Little Rock, AR
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
Specialties & Licenses 3
Secondary Practice Location 1
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, ARCertificate of Waiver 04D2320631
Haven Detox Lr Operating Subsidiary LLC · North Little Rock, AROther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LITTLE ROCK, AR 72204
LITTLE ROCK, AR 72204
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.