Heather Haven Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL5417 Issued in FL

Legal business name

HEATHER HAVEN INC.

Practice address

725 Edgewater Dr
Dunedin, FL 34698-6947

Phone

(727) 733-3510

NPI assigned

Feb 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Damiani

Title

President

Phone

(727) 733-3510

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1407997489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 EDGEWATER DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986947",
            "telephone_number": "727-733-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 EDGEWATER DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346986947",
            "telephone_number": "727-733-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "DAMIANI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-733-3510",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5417",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL5662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140380000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691227300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140382600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001822700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Hayes, DC
• Jakeeva Head, OWNER
• Health Holdings Company LLC
• Healthcare HD LLC
• Gene Healy, AP
• Dawn Michelle Heckman, APRN
• Lynn McDaniel Henderson, PSY.D
• Gerald Hendewich
• Jon Heneghan
• Brenda Hernandez, PTA

• Assisted Living Facility in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.