Organization Active NPI

Demossis Haven

  • Adult Companion
  • Leesburg, FL
National Provider Identifier
1235743766
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
DEMOSSIS HAVEN
Practice address
1442 Sterns Dr
Leesburg, FL 34748-3062
Phone
(352) 617-8341
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Jameshia Monet Weaver Smith
Title
Ceo/Director
Phone
(352) 617-8341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

1442 Sterns Dr
Leesburg, FL 34748-3062

Mailing address

1442 Sterns Dr
Leesburg, FL 34748-3062
Phone (352) 617-8341

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1235743766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 STERNS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483062",
            "telephone_number": "352-617-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 STERNS DR",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483062",
            "telephone_number": "352-617-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMOSSIS HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "WEAVER SMITH",
        "authorized_official_first_name": "JAMESHIA",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "352-617-8341"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

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