OrganizationActive
Haven Supports, LLC
NPI 1003958273 · Point of Service · Pittsburg, KS
Provider details
- NPI number
- 1003958273
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Justin Hermes, President Ceo(620) 235-0177
Specialties & taxonomies
Managed Care Organizations
Practice location
920 E 8th St
Pittsburg, KS 66762-4302
Phone: (620) 235-0177
Fax: (620) 235-0177
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 299
Pittsburg, KS 66762-0299
Registry dates
- Enumerated
- 2007-02-13
- Last updated
- 2008-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.