Provider Demographics
NPI:1720896640
Name:HAVEN BLESSINGS CORPORATION
Entity type:Organization
Organization Name:HAVEN BLESSINGS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ENVENESIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-528-6897
Mailing Address - Street 1:412 CRAB APPLE DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-6860
Mailing Address - Country:US
Mailing Address - Phone:757-528-6897
Mailing Address - Fax:703-266-0141
Practice Address - Street 1:412 CRAB APPLE DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-6860
Practice Address - Country:US
Practice Address - Phone:757-528-6897
Practice Address - Fax:703-266-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities