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Contact Information

JADE HAVEN LLC
7912 WHISTLE CREEK CT
BYRON CENTER, MI49315-9185
 Phone: 616-212-0081
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JADE HAVEN LLC

NPI Number 1669318093
LBN Legal business name JADE HAVEN LLC
Authorized official CHRISTINA WANG - (PHYSICIAN ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2026
Last updated 04/27/2026 - About a month 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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