Haven House Alf LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

7687 Issued in FL

Legal business name

HAVEN HOUSE ALF LLC

Practice address

12980 SW Highway 484
Dunnellon, FL 34432-6428

Phone

(352) 465-0300

NPI assigned

Aug 28, 2017

Organization subpart

No

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

Authorized official

Name

Zevi Kohn

Title

Member

Phone

(718) 338-2999

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503878400000",
    "number": "1124545348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 SW HIGHWAY 484",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344326428",
            "telephone_number": "352-465-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOUSE ALF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-08-28",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ZEVI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-338-2999"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALF",
            "identifier": "7687",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Hampton, D.D.S.
• Patricia Denise Hance
• Harbor House Alf LLC
• Inaya Harmon, RBT
• Maureen Harris
• Shakenah Hayes
• Hearing for Tomorrow Inc.
• Heart of Florida Health Center Inc
• Gary Helfin, MD
• Alvin M Hendley

• All providers in Dunnellon, FL
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.