A Safe Haven Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12103 Issued in FL

Legal business name

A SAFE HAVEN ASSISTED LIVING, LLC

Practice address

9000 86TH Ave
Seminole, FL 33777-2641

Phone

(727) 623-9073

NPI assigned

May 13, 2012

Last updated

May 13, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mark T Huba

Title

Administrator

Phone

(727) 623-9073

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336867200000",
    "number": "1003175936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 86TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772641",
            "telephone_number": "727-623-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 86TH AVE",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772641",
            "telephone_number": "727-623-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SAFE HAVEN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-13",
        "last_updated": "2012-05-13",
        "status": "A",
        "authorized_official_last_name": "HUBA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-623-9073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Seminole, FL
• Providers in Seminole, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.