A HEALTHY HAVEN – NPI #1861563488
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Emotionally Disturbed Children

A HEALTHY HAVEN is a residential treatment facility located in GOLDSBORO, NC. NPPES has assigned the NPI number 1861563488 to A HEALTHY HAVEN on November 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “A HEALTHY HAVEN” is a dba name, the actual legal business name for this organization is E & T ALLIANCE LLC. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

The NPI profile was previously updated about 17 years ago on Mar 06, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for A HEALTHY HAVEN below.

NPI Profile for
E & T ALLIANCE LLC

NPI Number
1861563488
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
E & T ALLIANCE LLC
Doing Business As (dba): A HEALTHY HAVEN
Primary location
410 MARCIA DR
GOLDSBORO, NC 27530-9213
Phone: (919) 734-9956 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK ELLERMEIER
PRESIDENT
Phone: (919) 734-9956
Updated
Identifiers

Identifiers for A HEALTHY HAVEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNC6603996
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)		 NC MHL-096178

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.