Organization Active NPI

Sparrow'S Haven Solace Center, LLC

  • Pastoral Counselor
  • Brandon, FL
National Provider Identifier
1154938280
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
SPARROW'S HAVEN SOLACE CENTER, LLC
Practice address
1403 Oakfield Drive
Brandon, FL 33511-2800
Phone
(813) 733-8586
NPI assigned
Sep 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Authorized official

Name
Dr. Melanie H. Gruner, DMIN., MDIV.NPI 1780294587
Title
Clinical Pastoral Counselor
Phone
(813) 404-7214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP1600X Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

1403 Oakfield Drive
Brandon, FL 33511-2800

Mailing address

1403 Oakfield Drive
Brandon, FL 33511-2800
Phone (813) 733-8586

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Dr.MelanieGruner@Sparrowshavensc.com Direct

National Provider Directory

National Provider Directory

Locations

1403 Oakfield Dr
Brandon, FL 33511
Phone (813) 404-7214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1154938280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112800",
            "telephone_number": "813-733-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 OAKFIELD DRIVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112800",
            "telephone_number": "813-733-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW'S HAVEN SOLACE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "GRUNER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CLINICAL PASTORAL COUNSELOR",
        "authorized_official_telephone_number": "813-404-7214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN., MDIV."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Dr.MelanieGruner@Sparrowshavensc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1403 Oakfield Drive",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335112800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.