Organization
HAVEN CONVALESCENT HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT CHARLES KIMMEL NHA (ADMINISTRATOR)
(724) 654-8833
Entity
Organization
Contact information
Practice address
725 PAUL ST, NEW CASTLE, PA 16101-4257
(724) 654-8833
(724) 652-9033
Mailing address
725 PAUL ST, NEW CASTLE, PA 16101-4257
(724) 654-8833
(724) 652-9033
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
081102
PA
314000000X
Skilled Nursing Facility
Primary
081102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007510350001
—
PA
Enumeration date
08/05/2006
Last updated
09/11/2025
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