Health Haven LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HEALTH HAVEN LLC

Doing business as

Health Haven LLC

Practice address

308 NW 5TH Ave
Okeechobee, FL 34972-2568

Phone

(863) 261-8354

Fax

(786) 221-4107

NPI assigned

Feb 19, 2015

Last updated

Sep 9, 2024By 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

Mohammad Asim NisarNPI 1437444791

Title

Medical Director

Phone

(516) 640-6937

Specialties & licenses 3

Addresses

Other names 1

• HEALTH HAVEN LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 35

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.

• Mohammad Asim Nisar, MD

  • Psychiatry Physician
  • Okeechobee, FL
  • NPI 1437444791
  Medicare reassignment Care Compare group Authorized official
• Sara Mia Ahmed, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenacres, FL
  • NPI 1518385749
  Medicare reassignment Care Compare group NPD
• Cesar A Almanza, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tampa, FL
  • NPI 1083337836
  Medicare reassignment Care Compare group NPD
• Moustapha Augustin

  • Clinical Social Worker
  • Palm Beach Gardens, FL
  • NPI 1356861660
  Medicare reassignment Care Compare group NPD
• Colleen Callahan, LCSW

  • Clinical Social Worker
  • Merritt Island, FL
  • NPI 1689991234
  Medicare reassignment Care Compare group NPD
• Mouvielle E Caro Gracia, MD

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1003932229
  Medicare reassignment Care Compare group NPD
• Jennifer Caschetta, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Okeechobee, FL
  • NPI 1225735947
  Medicare reassignment Care Compare group NPD
• Dana Sue Desantis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Okeechobee, FL
  • NPI 1831740158
  Medicare reassignment Care Compare group NPD
• Kelvin Dupera, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Okeechobee, FL
  • NPI 1285216234

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Enedys Maria Fernandez-Ledon, MS

  • Mental Health Counselor
  • Miami, FL
  • NPI 1518395508
  Medicare reassignment Care Compare group NPD
• Ashley Fortney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1144806407
  Medicare reassignment Care Compare group NPD
• Sharlene Gampel

  • Mental Health Counselor
  • Fort Pierce, FL
  • NPI 1407023641
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1265824858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 NW 5TH AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349722568",
            "telephone_number": "863-261-8354",
            "fax_number": "786-221-4107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2151 45th St Ste 210",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334072015",
            "country_code": "US",
            "telephone_number": "863-261-8354",
            "fax_number": "863-638-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-19",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "NISAR",
        "authorized_official_first_name": "MOHAMMAD ASIM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-640-6937"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME111621",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTH HAVEN LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Masood Hashmi, MD
• Zynab Hassan, M.D.
• Anne Marie Hays-Nail, M.A., CCC-SLP
• Brooke Evelyn Hazy
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• Tammy Theresa Hedrick, A.R.N.P.

• Community/Behavioral Health Agency in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.