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Organization
HAVEN HOME HEALTH, LLC
Active
Organization
HAVEN HOME HEALTH, LLC
Active
Other names
BeyondFaith Homecare & Rehab of Ft. Worth
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES DOUTHITT (CFO)
(940) 600-5140
Entity
Organization
Contact information
Practice address
5601 EXECUTIVE DR STE 250A, IRVING, TX 75038-2508
(972) 644-3000
(972) 644-3040
Mailing address
PO BOX 733707, DALLAS, TX 75373-3707
(972) 677-3499
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
008425
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
159926801
—
TX
01
—
45D1010398
CLIA LAB WAIVER
TX
Enumeration date
07/13/2005
Last updated
05/04/2026
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