Empowered Harmony Haven LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

EMPOWERED HARMONY HAVEN LLC

Practice address

10150 Rose Petal PL
Riverview, FL 33578-7564

Phone

(833) 880-0600

NPI assigned

Sep 28, 2023

Organization subpart

No

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

Authorized official

Name

Dijonia Charlton

Title

Ceo

Phone

(833) 880-0600

Specialties & licenses 1

Addresses

Other names 1

• EMPOWERED HARMONY HAVEN LLC Former legal business name

Locations

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1104605138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8834 N 56TH ST STE C",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336176214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 ROSE PETAL PL",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787564",
            "telephone_number": "833-880-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED HARMONY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "CHARLTON",
        "authorized_official_first_name": "DIJONIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-880-0600"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMPOWERED HARMONY HAVEN LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.