Organization
AUTUMN HAVEN RESIDENTIAL FACILITY
Active
Other names
Habor Haven Home Healthcare Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DENNIS (OWNER)
(469) 254-1298
Entity
Organization
Contact information
Practice address
2507 EARLCOVE DR, DALLAS, TX 75227-7817
(469) 992-0389
(972) 637-9225
Mailing address
2507 EARLCOVE DR, DALLAS, TX 75227-7817
(469) 992-0389
(972) 637-9225
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up