Lutheran Haven Nursing Home and Assisted Living Facility, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10765 Issued in FL

Legal business name

LUTHERAN HAVEN NURSING HOME AND ASSISTED LIVING FACILITY, LLC

Practice address

1525 Haven Drive
Attn: Assisted Living Facility Administrator
Oviedo, FL 32765

Phone

(407) 365-3456

Fax

(407) 706-1256

NPI assigned

Jun 24, 2014

Organization subpart

No

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 Assisted Living Facility Doing business as

Locations

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1487069969",
    "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: ASSISTED LIVING FACILITY 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": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "687593900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lutheran Haven Assisted Living Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Therapy LLC
• Lutheran Haven Therapy LLC
• Luxottica of America Inc.
• Luxottica of America Inc.
• Luz Mary Halpin

• Assisted Living Facility in Oviedo, FL
• Providers in Oviedo, 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 Jun 24, 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.