Christle Haven LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CHRISTLE HAVEN LLC

Practice address

2523 Leston CT
Orlando, FL 32817-2614

Phone

(407) 678-1251

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Thelma Woolridge, RN

Title

Manager

Phone

(407) 437-7683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1114551884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 LESTON CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 LESTON CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172614",
            "telephone_number": "407-678-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTLE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "WOOLRIDGE",
        "authorized_official_first_name": "THELMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "407-437-7683",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlei Christian, PHARMD
• Gerald Christian
• Donnamarie Christie, PHARMD
• Lynda Jean Christie, M.A., CCC/SLP
• Christina Boesch, DMD, P.a.
• Christopher Ferreira DMD PLLC
• Nathasha Christopher-Henry, LCSW
• Andrew Christopher, M.D.
• Kaitlin Christopherson, MD
• Carla Ann Chromik, NP

• Adult Care Home Facility in Orlando, FL
• Providers in Orlando, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.