Haven of Douglas, LLC
NPI 1073850319 · Skilled Nursing Facility · Douglas, AZ
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Haven of Douglas, LLC is a Skilled Nursing Facility organization in Douglas, AZ (NPI 1073850319).
Provider details
- NPI number
- 1073850319
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Haven Health Group Arizona, LLC
- Organization subpart
- Yes
- Authorized official
- Brett Robertson, President(480) 935-4300
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Skilled Nursing Facility314000000X
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
- 2013-01-07
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Frequently asked questions
- What is Haven of Douglas, LLC's NPI number?
- Haven of Douglas, LLC's National Provider Identifier (NPI) is 1073850319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Haven of Douglas, LLC?
- Haven of Douglas, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Haven of Douglas, LLC located?
- Haven of Douglas, LLC's practice location on file with NPPES is 1400 N San Antonio Ave, Douglas, AZ 85607-2434.
- What is Haven of Douglas, LLC's phone number?
- The practice phone number listed in the NPPES registry for Haven of Douglas, LLC is (520) 364-7937.
- Does Haven of Douglas, LLC accept Medicare?
- Haven of Douglas, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Haven of Douglas, LLC?
- The authorized official listed on Haven of Douglas, LLC's NPPES record is Brett Robertson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Haven of Douglas, LLC's NPI active?
- Yes — Haven of Douglas, LLC's NPI (1073850319) is active in the NPPES registry as of the last update on 2025-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.