Haven Home Medical Group PLLC
NPI 1760376784ActiveOrganization· Family Medicine· Smithville, TN
Family Medicine in Smithville, Tennessee, registered in NPPES in June 2025. The authorized official on file is Donald Glen Blaschke, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760376784 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 4, 2025 |
| Last updated in NPPES | May 28, 2026 |
| Certified by provider | May 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine | 207P00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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