Active NPI
Hope Haven LLC
- Clinic/Center
- Winter Haven, FL
National Provider Identifier
1205674512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- HOPE HAVEN LLC
- Practice address
- 1125 1St St S
Winter Haven, FL 33880-3902 - Phone
- (321) 219-9230
- Fax
- (800) 650-9174
- NPI assigned
- Jul 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramonita Perez
- Title
- Owner
- Phone
- (917) 582-6482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1125 1St St S
Winter Haven, FL 33880-3902
Mailing address
1125 1St St S
Winter Haven, FL 33880-3902
Phone (321) 219-9230
Other names 1
- Hope Haven LLC
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2299295 | Hope Haven LLC | Certificate of waiver | Feb 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
23 S Dillingham Ave
#B
Kissimmee, FL 34741
Phone (321) 219-9230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770336000000",
"number": "1205674512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803902",
"telephone_number": "321-219-9230",
"fax_number": "800-650-9174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803902",
"telephone_number": "321-219-9230",
"fax_number": "800-650-9174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE HAVEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2026-02-06",
"certification_date": "2026-02-06",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "RAMONITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-582-6482"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hope Haven LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.