# HAVEN OF LAKE HAVASU, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAVEN HEALTH GROUP LLC
- **Other names:** Haven of Lake Havasu
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1366978603
- **Legal business name:** HAVEN HEALTH GROUP LLC
- **Authorized official:** MR. BRETT ROBERTSON (CEO)
- **Authorized official phone:** (480) 935-4300

## Contact information

- **Practice address:** 2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
- **Practice address phone:** (192) 850-5552
- **Practice address fax:** (801) 296-5111
- **Mailing address:** 2781 OSBORN DR, LAKE HAVASU CITY, AZ 86406-8629
- **Mailing address phone:** (192) 850-5552
- **Mailing address fax:** (801) 296-5111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | AZ | Yes |

## Other

- **Enumeration date:** 05/05/2017
- **Last updated:** 02/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 339439 | — | AZ |