OrganizationActive
Haven Residential Care LLC
NPI 1720802663 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Plainfield, IN
Provider details
- NPI number
- 1720802663
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Marianne Mudagiri, Chief Operating Officer(438) 874-6770
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2481 Ascent Way Apt 201
Plainfield, IN 46168-5657
Phone: (438) 874-6770
Approximate (ZIP-level) locationGet directions
Mailing address
2481 Ascent Way Apt 201
Plainfield, IN 46168-5657
Registry dates
- Enumerated
- 2024-11-07
- Last updated
- 2024-11-09
- Certified
- 2024-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.