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Contact Information

HAVENWOOD II
5500 W BAGLEY PARK RD
WEST JORDAN, UT84081-5697
 Phone: 435-586-2500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Psychiatric Residential Treatment Facility

323P00000X
Indicates primary specialty

NPI Profile & details for HAVENWOOD II

NPI Number 1366314429
LBN Legal business name HAVENWOOD II
Authorized official NATHAN HOFELING - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/19/2025
Last updated 04/15/2026 - About 2 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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