Organization Active NPI

Heather Haven III

  • Assisted Living Facility
  • Largo, FL
National Provider Identifier
1629485206
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEATHER HAVEN III
Practice address
10476 131St Street N
Largo, FL 33774-4734
Phone
(727) 434-2770
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Authorized official

Name
Donna Jean Damiani
Title
Owner/Ceo
Phone
(727) 434-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10476 131St Street N
Largo, FL 33774-4734

Mailing address

10476 131St Street N
Largo, FL 33774-4734
Phone (727) 434-2770

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1629485206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10476 131ST STREET N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744734",
            "telephone_number": "727-434-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10476 131ST STREET N",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744734",
            "telephone_number": "727-434-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER HAVEN III",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "DAMIANI",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "727-434-2770"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.