Provider Demographics
NPI:1609612944
Name:STEVE'S HAVEN
Entity type:Organization
Organization Name:STEVE'S HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:AUSTIN-WHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-640-8348
Mailing Address - Street 1:2978 N 54TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1631
Mailing Address - Country:US
Mailing Address - Phone:414-640-8348
Mailing Address - Fax:
Practice Address - Street 1:2978 N 54TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1631
Practice Address - Country:US
Practice Address - Phone:414-640-8348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care