Central Haven LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

CENTRAL HAVEN LLC

Practice address

3501 W Vine St Ste 285
Kissimmee, FL 34741-4673

Phone

(772) 708-9464

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Kenneth Stevens

Title

Owner

Phone

(772) 708-9464

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1528891983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 LAKE BERKLEY DR",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347466127",
            "telephone_number": "772-708-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W VINE ST STE 285",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414673",
            "telephone_number": "772-708-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-708-9464"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Centralfloridaprimaryphysicians
• Meghan Marie Cequerella, NP
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• Julian Andres Ceron
• Mary Christine Cerrado, PT, DPT, OCS

• Developmentally Disabled Services Day Training Agency in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.