Haven Detox of West Memphis, LLC
NPI 1043082555 · Substance Abuse Rehabilitation Facility · West Memphis, AR
Haven Detox of West Memphis, LLC is a Substance Abuse Rehabilitation Facility organization in West Memphis, AR (NPI 1043082555).
Provider details
- NPI number
- 1043082555
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kirill Vesselov, President(561) 635-2400
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-10-27
- Last updated
- 2023-10-27
- Certified
- 2023-10-27
Frequently asked questions
- What is Haven Detox of West Memphis, LLC's NPI number?
- Haven Detox of West Memphis, LLC's National Provider Identifier (NPI) is 1043082555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haven Detox of West Memphis, LLC?
- Haven Detox of West Memphis, LLC is classified in the NPPES registry as Substance Abuse Rehabilitation Facility (Residential Treatment Facilities).
- Where is Haven Detox of West Memphis, LLC located?
- Haven Detox of West Memphis, LLC's practice location on file with NPPES is 410 S Avalon St, West Memphis, AR 72301-4183.
- What is Haven Detox of West Memphis, LLC's phone number?
- The practice phone number listed in the NPPES registry for Haven Detox of West Memphis, LLC is (561) 635-2400.
- Who is the authorized official for Haven Detox of West Memphis, LLC?
- The authorized official listed on Haven Detox of West Memphis, LLC's NPPES record is Kirill Vesselov, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haven Detox of West Memphis, LLC's NPI active?
- Yes — Haven Detox of West Memphis, LLC's NPI (1043082555) is active in the NPPES registry as of the last update on 2023-10-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.