Lutheran Haven Nursing Home and Assisted Living Facility, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1300096 Issued in FL

Legal business name

LUTHERAN HAVEN NURSING HOME AND ASSISTED LIVING FACILITY, LLC

Doing business as

Lutheran Haven Nursing Home

Practice address

1525 Haven Drive
Attn: Nursing Home Administrator
Oviedo, FL 32765

Phone

(407) 365-3456

Fax

(407) 706-1256

NPI assigned

Jun 23, 2005

Organization subpart

Yes

Parent organization

LUTHERAN HAVEN INC.As reported in NPPES

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

Authorized official

Name

Mrs. Linda Ann Kirk

Title

Ceo

Phone

(407) 365-5676

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lutheran Haven Nursing Home Doing business as

Tax ID family

Lutheran Haven Therapy LLC2 organizations share this tax ID, including this one

Part of

Lutheran Haven Therapy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lutheran Haven Therapy LLC

  • Physical Therapy Clinic/Center
  • Oviedo, FL
  • NPI 1386412385
  NPD tax ID

Locations

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1326044322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 WEST STATE RD 426",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-365-5676",
            "fax_number": "407-366-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 HAVEN DRIVE",
            "address_2": "ATTN: NURSING HOME ADMINISTRATOR",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "32765",
            "telephone_number": "407-365-3456",
            "fax_number": "407-706-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN HAVEN NURSING HOME AND ASSISTED LIVING FACILITY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUTHERAN HAVEN INC.",
        "enumeration_date": "2005-06-23",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-365-5676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1300096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031371800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Haven Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lumira Pediatrics PLLC
• Danielle Nicole Lunardelli, FNP
• Cynthia Ann Lury
• Lutheran Haven Extended Congregate Care, LLC
• Lutheran Haven Home Healthcare LLC C/O Lutheran Haven Inc Sole MBR
• Lutheran Haven Nursing Home and Assisted Living Facility, LLC (Lutheran Haven Assisted Living Facility)
• Lutheran Haven Therapy LLC
• Lutheran Haven Therapy LLC
• Luxottica of America Inc. (Target Optical #6725)
• Luxottica of America Inc. (Sears Optical #1849)

• Skilled Nursing Facility in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.