Organization Active NPI

Lutheran Haven Home Healthcare LLC C/O Lutheran Haven Inc Sole MBR

  • Home Health Agency
  • Oviedo, FL
National Provider Identifier
1033367453
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA299993190 Issued in FL
Legal business name
LUTHERAN HAVEN HOME HEALTHCARE LLC C/O LUTHERAN HAVEN INC SOLE MBR
Practice address
2041 W State Road 426
Oviedo, FL 32765-8548
Phone
(407) 706-1173
Fax
(407) 366-0128
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Mr. Alexander Caguioa Garduque, RPT
Title
Director of Rehabilitation Services
Phone
(407) 706-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA299993190 FL Primary

Addresses

Primary practice location

2041 W State Road 426
Oviedo, FL 32765-8548

Mailing address

2041 W State Road 426
Oviedo, FL 32765-8548

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1033367453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 W STATE ROAD 426",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 W STATE ROAD 426",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327658548",
            "telephone_number": "407-706-1173",
            "fax_number": "407-366-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HAVEN HOME HEALTHCARE LLC C/O LUTHERAN HAVEN INC SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "GARDUQUE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "CAGUIOA",
        "authorized_official_title_or_position": "DIRECTOR OF REHABILITATION SERVICES",
        "authorized_official_telephone_number": "407-706-1173",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299993190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.