Havencrest Alf Inc

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

HAVENCREST ALF INC

Practice address

4280 NW 113TH Ave
Coral Springs, FL 33065-7778

Phone

(954) 683-3945

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Yvonne G Johnson

Title

Owner

Phone

(954) 683-3945

Specialties & licenses 1

Addresses

Tax ID family

Havencrest Alf Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Havencrest Alf LLC

  • Assisted Living Facility
  • Boca Raton, FL
  • NPI 1841645082
  NPD tax ID

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1124394440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 NW 113TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657778",
            "telephone_number": "954-683-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 NW 113TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657778",
            "telephone_number": "954-683-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENCREST ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-683-3945",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Harty, LCSW
• Harvan Nahmias MD PA
• Natalia Harvey, PA-C
• Yara Diane Hatem, ARNP
• Dolores M Hauser, RD
• Havencrest Alf, LLC
• Symone Hawes, LAT, ATC, NREMT
• Roniesha Hawkins
• Natalie Rene Haydon, MOT, OTR/L
• Destiny Hayes

• Physical Disabilities Residential Treatment Facility in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Physical Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.