HAVENDETOX PR LLC – NPI #1386529048
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

HAVENDETOX PR LLC is a substance abuse rehabilitation facility located in AGUADILLA, PR. NPPES has assigned the NPI number 1386529048 to HAVENDETOX PR LLC on August 11, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Oct 30, 2025. 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 HAVENDETOX PR LLC below.

NPI Profile for
HAVENDETOX PR LLC

NPI Number
1386529048
Enumeration Date

(about 10 months 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
HAVENDETOX PR LLC
Primary location
CARR, #2 KM 117.9 INT SOLAR 6
BO. CEIBA BAJA DE AGUADILLA
AGUADILLA, PR 00603
Phone: (561) 461-3791 Fax:
Mailing address
2925 10TH AVE N
PALM SPRINGS, FL 33461-3000
Phone: Fax:
Organization Subpart
No
Authorized Official
KIRILL VESSELOV
PRESIDENT
Phone: (561) 461-3791
Updated
Certification Date
Oct 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

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.