Provider Demographics
NPI:1215740105
Name:HAVENLYFT HEALTHCARE AGENCY, INC.
Entity type:Organization
Organization Name:HAVENLYFT HEALTHCARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STACIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-330-7479
Mailing Address - Street 1:575 COURTRIGHT DR E
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-1578
Mailing Address - Country:US
Mailing Address - Phone:614-330-7479
Mailing Address - Fax:
Practice Address - Street 1:575 COURTRIGHT DR E
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-1578
Practice Address - Country:US
Practice Address - Phone:614-330-7479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health