Organization Active NPI

Oak Haven Alf, LLC

  • Assisted Living Facility
  • New Port Richey, FL
National Provider Identifier
1063996445
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OAK HAVEN ALF, LLC
Practice address
9040 Star TRL
New Port Richey, FL 34654-2541
Phone
(727) 534-6922
NPI assigned
Sep 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Authorized official

Name
Christopher Lee Damiani
Title
Manager
Phone
(727) 534-6922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9040 Star TRL
New Port Richey, FL 34654-2541

Mailing address

11125 Lakeview Dr
New Port Richey, FL 34654-3613
Phone (727) 534-6922

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537401600000",
    "number": "1063996445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 LAKEVIEW DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346543613",
            "telephone_number": "727-534-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 STAR TRL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542541",
            "telephone_number": "727-534-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK HAVEN ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A",
        "authorized_official_last_name": "DAMIANI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-534-6922"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.