Organization · NPI-2
Gentle Haven, LLC
Peer Specialist · Streetsboro, OH
NPI number1003608183
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1003608183
- Entity type
- Organization (NPI-2)
- Legal business name
- Gentle Haven, LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2025
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Practice location
1637 Mcguinness AveStreetsboro, OH 44241-4228
Phone 216-213-9848
Mailing address
1637 Mcguinness AveStreetsboro, OH 44241-4228
Phone 216-213-9848
Authorized official
Noni Brooks
Provider/Owner
2162139848
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