Provider Demographics
NPI:1700757713
Name:HAVEN HOME HEALTHCARE INC
Entity type:Organization
Organization Name:HAVEN HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AFOLAKE
Authorized Official - Middle Name:
Authorized Official - Last Name:AKANBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-475-8862
Mailing Address - Street 1:303 BERKSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-5052
Mailing Address - Country:US
Mailing Address - Phone:224-585-9586
Mailing Address - Fax:
Practice Address - Street 1:303 BERKSHIRE DR
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-5052
Practice Address - Country:US
Practice Address - Phone:224-585-9586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty