Provider Demographics
NPI:1932083417
Name:HEIDI'S HAVEN
Entity type:Organization
Organization Name:HEIDI'S HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALF MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-374-0398
Mailing Address - Street 1:4455 S BRICE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-7116
Mailing Address - Country:US
Mailing Address - Phone:480-374-0398
Mailing Address - Fax:
Practice Address - Street 1:4455 S BRICE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-7116
Practice Address - Country:US
Practice Address - Phone:480-374-0398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health