Eternal Haven LLC
NPI 1184489460 · Community/Behavioral Health Agency · Concord, NC
Eternal Haven LLC is a Community/Behavioral Health Agency organization in Concord, NC (NPI 1184489460).
Provider details
- NPI number
- 1184489460
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Brandon Blasse, Executive Director(704) 796-1156
Specialties & taxonomies
Agencies
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
- 2024-02-16
- Last updated
- 2025-10-28
- Certified
- 2025-10-28
Frequently asked questions
- What is Eternal Haven LLC's NPI number?
- Eternal Haven LLC's National Provider Identifier (NPI) is 1184489460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternal Haven LLC?
- Eternal Haven LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Eternal Haven LLC located?
- Eternal Haven LLC's practice location on file with NPPES is 4111 Zebulon Ave Sw, Concord, NC 28027-9209.
- What is Eternal Haven LLC's phone number?
- The practice phone number listed in the NPPES registry for Eternal Haven LLC is (704) 796-1156.
- Who is the authorized official for Eternal Haven LLC?
- The authorized official listed on Eternal Haven LLC's NPPES record is Brandon Blasse, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternal Haven LLC's NPI active?
- Yes — Eternal Haven LLC's NPI (1184489460) is active in the NPPES registry as of the last update on 2025-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.