Organization Active NPI

Daisy Haven LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Palm Harbor, FL
National Provider Identifier
1265362016
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
DAISY HAVEN LLC
Practice address
3538 Ridge Blvd
Palm Harbor, FL 34684-3556
Phone
(609) 501-5589
NPI assigned
May 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Authorized official

Name
Luisito AgoNPI 1184356537
Title
Owner
Phone
(609) 501-5589

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3538 Ridge Blvd
Palm Harbor, FL 34684-3556

Mailing address

3538 Ridge Blvd
Palm Harbor, FL 34684-3556
Phone (609) 501-5589

National Provider Directory

National Provider Directory

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": "1779408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779408000000",
    "number": "1265362016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 RIDGE BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843556",
            "telephone_number": "609-501-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 RIDGE BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843556",
            "telephone_number": "609-501-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "AGO",
        "authorized_official_first_name": "LUISITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-501-5589"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.