Active NPI
St. Levon Haven, LLC
- Developmentally Disabled Services Day Training Agency
- Jacksonville, FL
National Provider Identifier
1265243265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- ST. LEVON HAVEN, LLC
- Practice address
- 1010 Cherry Point Way
Jacksonville, FL 32218-6134 - Phone
- (904) 820-6865
- NPI assigned
- Jan 17, 2025
- 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
- Antonia Saint-Levon
- Title
- Owner
- Phone
- (904) 820-6865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1010 Cherry Point Way
Jacksonville, FL 32218-6134
Mailing address
1010 Cherry Point Way
Jacksonville, FL 32218-6134
Phone (904) 820-6865
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738886400000",
"number": "1265243265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 CHERRY POINT WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322186134",
"telephone_number": "904-820-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 CHERRY POINT WAY",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322186134",
"telephone_number": "904-820-6865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. LEVON HAVEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-17",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A",
"authorized_official_last_name": "SAINT-LEVON",
"authorized_official_first_name": "ANTONIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-820-6865"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Adrienne St. Louis
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- St. Vincent'S First Care-Ortega
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.