Active NPI
Lutheran Haven Home Healthcare LLC C/O Lutheran Haven Inc Sole MBR
- Home Health Agency
- Oviedo, FL
National Provider Identifier
1033367453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHA299993190
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Dolli Ludwick
- Lumira Pediatrics PLLC
- Danielle Nicole Lunardelli, FNP
- Cynthia Ann Lury
- Lutheran Haven Extended Congregate Care, LLC
- Lutheran Haven Nursing Home and Assisted Living Facility, LLC
- Lutheran Haven Nursing Home and Assisted Living Facility, LLC
- Lutheran Haven Therapy LLC
- Lutheran Haven Therapy LLC
- Luxottica of America Inc.
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.