Eternal Haven LLC
Eternal Haven LLC is a healthcare organization registered as Community/Behavioral Health Agency in Concord, NC, holding Type 2 (organization) NPI 1184489460 since 2024. The authorized official on file is Brandon Blasse, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1184489460 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eternal Haven LLC |
| Practice address | 4111 ZEBULON AVE SW, Concord, NC, 28027 |
| Phone | 7047961156 |
| Enumeration date | 2024-02-16 |
| Last updated in NPPES | 2025-10-28 |
Authorized official
| Name | Brandon Blasse |
|---|---|
| Title | Executive Director |
| Phone | 7047961156 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Primary | — | — |
Copy-ready billing details
Provider: Eternal Haven LLC NPI: 1184489460 Taxonomy: 251S00000X (Community/Behavioral Health Agency) Address: 4111 ZEBULON AVE SW, Concord, NC, 28027
Verify this record
Cross-check NPI 1184489460 against the authoritative CMS record: view Eternal Haven LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Eternal Haven LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-10-28.