Haven of Lake Havasu, LLC
NPI 1366978603ActiveOrganization· Skilled Nursing Facility· Lake Havasu City, AZ
Skilled Nursing Facility in Lake Havasu City, Arizona, registered in NPPES in May 2017, part of Haven Health Group LLC. The authorized official on file is Brett Robertson, Ceo. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1366978603 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Haven Health Group LLC |
| NPI issued | May 5, 2017 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AZ) |
|---|
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