National Provider Identifier Database

HAVENWOOD II
Mental Health (Including Community Mental Health Center)


Contact Information

HAVENWOOD II
5500 W BAGLEY PARK RD
WEST JORDAN, UT84081-5697
Phone: 435-586-2500
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Psychiatric Residential Treatment Facility 323P00000X

* Indicates primary specialty

NPI Profile & details for HAVENWOOD II

NPI Number 1366314429
Legal business name
LBN
HAVENWOOD II
Authorized official NATHAN HOFELING - (OWNER)
Entity Organization
Organization subpart Yes
Enumeration date 09/19/2025
Last updated 04/15/2026 - About 2 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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