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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GLENN HAVEN, LLC
NPI 1972407229
Community Based Residential Treatment Facility, Mental Illness in Charlotte, NC

Active since October 07, 2026
6417 SPANISH MOSS LN, CHARLOTTE, NC 28262(803) 412-9514 Get Directions Write a Review

NPPES record added: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Glenn Haven, Llc NPPES

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

GLENN HAVEN, LLC (NPI 1972407229) is a healthcare organization registered as a community based residential treatment facility, mental illness in Charlotte, North Carolina and active in the NPI registry since October 2026. The organization lists Dana Keitt, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1972407229
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameGLENN HAVEN, LLC
Location Address6417 SPANISH MOSS LNCharlotte, NC 28262-2259
Mailing Address6417 Spanish Moss LnCharlotte, NC 28262-2259 · (803) 412-9514
Phone(803) 412-9514
Organization SubpartNo
Authorized OfficialDana KeittExecutive Director · (803) 412-9514
Enumeration DateOctober 7, 2026
NPPES CertifiedOctober 7, 2026
✔ NPI 1972407229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
6417 SPANISH MOSS LN, Charlotte, NC 28262
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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 Glenn Haven, LLC's NPI number?

The NPI number for Glenn Haven, LLC is 1972407229. It was assigned to this organization in the NPPES registry on October 7, 2026.

Where is Glenn Haven, LLC located?

Glenn Haven, LLC is located at 6417 Spanish Moss Ln, Charlotte, NC 28262. The listed phone number is (803) 412-9514.

What is Glenn Haven, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Glenn Haven, LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.