Provider Demographics
NPI:1053433730
Name:HAIGH VENTURES, INC
Entity type:Organization
Organization Name:HAIGH VENTURES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-941-9710
Mailing Address - Street 1:400 RESERVOIR AVE
Mailing Address - Street 2:SUITE LL - J
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-3565
Mailing Address - Country:US
Mailing Address - Phone:401-941-9710
Mailing Address - Fax:401-781-5737
Practice Address - Street 1:400 RESERVOIR AVE
Practice Address - Street 2:SUITE LL - J
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-3565
Practice Address - Country:US
Practice Address - Phone:401-941-9710
Practice Address - Fax:401-781-5737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHC03164251E00000X
RIHV40379251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIHV40379Medicaid
RIHC03164Medicaid