Gulf Haven Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9968 Issued in FL

Legal business name

GULF HAVEN INC.

Practice address

6343 Rowan Rd
New Port Richey, FL 34653

Phone

(727) 967-4075

Fax

(352) 610-9364

NPI assigned

Sep 5, 2012

Last updated

Sep 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debby L Martin

Title

Administrator

Phone

(727) 967-4075

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1649529637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6343 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-967-4075",
            "fax_number": "352-610-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6343 ROWAN RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34653",
            "telephone_number": "727-967-4075",
            "fax_number": "352-610-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEBBY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-967-4075",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011061-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Nephrology Associates
• Gulf Coast Primary Care PLC
• Gulf Coast Reference Laboratories Inc
• Gulf Coast Surgical Group
• Gulf Coast Surgical Suites, LLC
• Gulf View Medical & Urgent Care Inc
• Gulf View Walk in Clinic,Inc
• Gulfcoast Pulmonary Associates, P.a.
• Gulfcoast Spinal Center, Inc.
• Cori Gulliver

• Assisted Living Facility in New Port Richey, FL
• Providers in New Port Richey, 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 Sep 5, 2012; 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.