Haven Home Health Care 5, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HAVEN HOME HEALTH CARE 5, LLC

Practice address

970 Lake Carillon Dr
Suite 300
Saint Petersburg, FL 33716-1129

Phone

(844) 428-4644

NPI assigned

Nov 12, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Kim Brown

Title

Office Manager

Phone

(844) 428-4644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1043616451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR",
            "address_2": "SUITE 300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161129",
            "telephone_number": "844-428-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKE CARILLON DR",
            "address_2": "SUITE 300",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161129",
            "telephone_number": "844-428-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOME HEALTH CARE 5, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "844-428-4644",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Michael Hassett, CAP
• Brian J Hatlelid, PHYSICAL THERAPIST
• Annmarie Hattala
• Brandi R Haugabook, CNM
• Deondrick Haughbrook
• Keturah Kolett Hawk, RN
• Amy Hawkins
• Cameron Jewell Hawkins, PHARMACIST
• Charteye Hawkins, APRN
• Fabiana A Hawkins

• All providers in Saint Petersburg, FL
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.