Organization Active NPI

Haven Transitional Living

  • In Home Supportive Care Agency
  • Port St Lucie, FL
National Provider Identifier
1285514745
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAVEN TRANSITIONAL LIVING
Practice address
1073 SW Bianca Ave
Port St Lucie, FL 34953-3206
Phone
(772) 874-9288
NPI assigned
Sep 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Jeanita Marseille
Title
Executive Directo
Phone
(772) 874-9288

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Lodging Provider 177F00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary
Home Delivered Meals 332U00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X

Addresses

Primary practice location

1073 SW Bianca Ave
Port St Lucie, FL 34953-3206

Mailing address

4380 SW Calah Cir
Port St Lucie, FL 34953-7524
Phone (772) 874-9288

Other practice location 1

6432 SW Darwin Blvd
Port St Lucie, FL 34953
Phone (772) 874-9288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1285514745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 SW CALAH CIR",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349537524",
            "telephone_number": "772-874-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 SW BIANCA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349533206",
            "telephone_number": "772-874-9288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6432 SW DARWIN BLVD",
            "address_purpose": "LOCATION",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "34953",
            "country_code": "US",
            "telephone_number": "772-874-9288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVEN TRANSITIONAL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "MARSEILLE",
        "authorized_official_first_name": "JEANITA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTO",
        "authorized_official_telephone_number": "772-874-9288"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.