Reintegration Haven LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

REINTEGRATION HAVEN LLC

Practice address

726 Lynndale St N
St Petersburg, FL 33703-1241

Phone

(320) 310-6202

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cassidy BrownNPI 1043869753

Title

Owner

Phone

(320) 310-6202

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassidy Brown, COTA

  • Occupational Therapy Assistant
  • Fort Myers, FL
  • NPI 1043869753
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1255119806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 LYNNDALE ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031241",
            "telephone_number": "320-310-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 LYNNDALE ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337031241",
            "telephone_number": "320-310-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REINTEGRATION HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CASSIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-310-6202"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debbie Reinoso Rios
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• In Home Supportive Care Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.