Koran Watson Haven of Health LLC
NPI 1104401322 · Registered Dietitian · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koran Watson Haven of Health LLC is a Registered Dietitian organization in Philadelphia, PA (NPI 1104401322).
Provider details
- NPI number
- 1104401322
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Koran Watson, Owner/ Ceo(267) 209-3245
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-03-10
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Koran Watson Haven of Health LLC's NPI number?
- Koran Watson Haven of Health LLC's National Provider Identifier (NPI) is 1104401322, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koran Watson Haven of Health LLC?
- Koran Watson Haven of Health LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Koran Watson Haven of Health LLC located?
- Koran Watson Haven of Health LLC's practice location on file with NPPES is 21 S 11th St, Philadelphia, PA 19107-4223.
- What is Koran Watson Haven of Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Koran Watson Haven of Health LLC is (267) 209-3245.
- Does Koran Watson Haven of Health LLC accept Medicare?
- Koran Watson Haven of Health 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 Koran Watson Haven of Health LLC?
- The authorized official listed on Koran Watson Haven of Health LLC's NPPES record is Koran Watson, Owner/ Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koran Watson Haven of Health LLC's NPI active?
- Yes — Koran Watson Haven of Health LLC's NPI (1104401322) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.