Maggies Haven, LLC

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

MAGGIES HAVEN, LLC

Practice address

636 Palmetto St
Eustis, FL 32726-3123

Phone

(352) 602-1175

NPI assigned

May 22, 2023

Last updated

Sep 27, 2024By 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

Laquita M Green-Norflee, CNANPI 1245709138

Title

MGR

Phone

(352) 602-1175

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laquita Green-Norflee

  • Attendant Care Provider
  • Eustis, FL
  • NPI 1245709138

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1053003889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 HOLLYWOOD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263111",
            "telephone_number": "352-602-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PALMETTO ST",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327263123",
            "telephone_number": "352-602-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIES HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GREEN-NORFLEE",
        "authorized_official_first_name": "LAQUITA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "352-602-1175",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117291100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Homemaker in Eustis, FL
• Providers in Eustis, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.