Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Havenpath Supportive Living LLC

Organization Community/Behavioral Health Agency · NPI 1518839372

Havenpath Supportive Living LLC is a Community/Behavioral Health Agency in Greensboro, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4518 W Market St Ste A
Greensboro, NC 27407-1543
Phone: (704) 662-5250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1518839372
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roosevelt Smith — Owner · (704) 662-5250
NPI enumeratedSeptember 22, 2025
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address4518 W Market St Ste A, Greensboro, NC 27407-1543

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