HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC
NPI 1912341629
Psychiatric Hospital in Philadelphia, PA

Active since April 24, 2013CLIA 39D2065897 · Waiver
3300 HENRY AVE, UNIT 4, PHILADELPHIA, PA 19129(615) 250-9500(615) 250-9515 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2025, Jun 2, 2020 (2 updates tracked since 2020).

About Haven Behavioral Services Of Philadelphia, Llc NPPES

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

HAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC (NPI 1912341629), doing business as Haven Behavioral Hospital Of Philadelphia, is a healthcare organization registered as a psychiatric hospital in Philadelphia, Pennsylvania and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through September 16, 2027 and lists Laura Tarantino, Evp, as its authorized official.

NPPES Registry Identity

NPI1912341629
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameHAVEN BEHAVIORAL SERVICES OF PHILADELPHIA, LLC
Location Address3300 HENRY AVE, UNIT 4Philadelphia, PA 19129-1121
Mailing Address3102 W End Ave Ste 1000Nashville, TN 37203-1324 · (615) 393-8800 · Fax (615) 982-8123
Fax(615) 250-9515
Organization SubpartNo
Authorized OfficialLaura TarantinoEvp · (972) 464-0022
Enumeration DateApril 24, 2013
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1912341629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
3300 HENRY AVE, Philadelphia, PA 19129

Other Names 1

Doing Business AsHaven Behavioral Hospital Of Philadelphia

Other Identifiers 1

Medicaid1029437890001PA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haven Behavioral Services Of Philadelphia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Haven Behavioral Services Of Philadelphia, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1144698408
3301 SCOTTS LANE HAVEN BEHAVIORAL HOSPITAL
Philadelphia, PA 19129
(856) 304-2601
✔ PECOS✔ Accepts Medicare0.1 mi
Psychiatry
NPI 1831115559
520 N COLUMBUS BLVD
Philadelphia, PA 19123
(215) 923-8042
✔ PECOS✔ Accepts Medicare4.4 mi
Family Practice
NPI 1023634342
7600 CENTRAL AVE
Philadelphia, PA 19111
(215) 728-2275
✔ PECOS✔ Accepts Medicare6.3 mi
Internal Medicine
NPI 1194748079
49-4 REVERE RD
Drexel Hill, PA 19026
(215) 620-6487
✔ PECOS✔ Accepts Medicare8.4 mi
Psychiatry
NPI 1316967060
104 EGYPT RD
Jeffersonville, PA 19403
(610) 277-5022
✔ PECOS✔ Accepts Medicare13 mi
Psychiatry
NPI 1306830658
676 WYOMING AVE
Kingston, PA 18704
(570) 331-2700
✔ PECOS✔ Accepts Medicare94 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 39D2065897

Haven Behavioral Services Of Phila, LLC Dba Haven Behavioral Hospital Of Philadelphia · Philadelphia, PA
Active · expires Sep 16, 2027
CLIA Number39D2065897
Laboratory TypeHospital
Certificate Effective DateSeptember 17, 2025
Certificate Expiration DateSeptember 16, 2027
Laboratory DirectorDr. Miguel Agilo-Seara
Laboratory Phone(215) 475-3400
Laboratory LocationHaven Behavioral Services Of Phila, LLC Dba Haven Behavioral Hospital Of Philadelphia3300 Henry Avenue, Philadelphia, PA 19129
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Haven Behavioral Hospital Of Philadelphia (CMS certification number 394053), from CMS Care Compare.

Haven Behavioral Hospital Of Philadelphia

Psychiatric · Philadelphia, PA
OwnershipProprietary
CMS Certification Number394053
Location3301 Scotts Lane, Four Falls BuildingPhiladelphia, PA 19129 · Philadelphia County · (215) 475-3400

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 Behavioral Services Of Philadelphia, LLC's NPI number?

The NPI number for Haven Behavioral Services Of Philadelphia, LLC is 1912341629. It was assigned to this organization in the NPPES registry on April 24, 2013. The provider is doing business as Haven Behavioral Hospital of Philadelphia.

Where is Haven Behavioral Services Of Philadelphia, LLC located?

Haven Behavioral Services Of Philadelphia, LLC is located at 3300 Henry Ave Unit 4, Philadelphia, PA 19129. The listed phone number is (615) 250-9500.

What is Haven Behavioral Services Of Philadelphia, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Haven Behavioral Services Of Philadelphia, LLC enrolled in Medicare?

Yes. Haven Behavioral Services Of Philadelphia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven Behavioral Services Of Philadelphia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 4 Medicare specialties reassign their Medicare billing to Haven Behavioral Services Of Philadelphia, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (3), Family Practice (1) and Internal Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Haven Behavioral Services Of Philadelphia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2065897) is associated with this NPI, valid through September 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Haven Behavioral Services Of Philadelphia, LLC a Medicare-certified hospital?

Yes. Haven Behavioral Hospital Of Philadelphia is a Medicare-certified hospital (Psychiatric).

What insurance does Haven Behavioral Services Of Philadelphia, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Haven Behavioral Services Of Philadelphia, 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 Behavioral Services Of Philadelphia, LLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.