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Organization Active NPI

North Central Florida Hospice, Inc.

Doing business as Haven Hospice

  • Inpatient Hospice
  • Gainesville, FL
National Provider Identifier
1699742783
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
5023096 Issued in FL
Legal business name
NORTH CENTRAL FLORIDA HOSPICE, INC.
Doing business as
Haven Hospice
Practice address
4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone
(352) 378-2121
NPI assigned
Mar 7, 2006
Last updated
May 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Pauline Taylor, RN
Title
President
Phone
(352) 378-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 5023096 FL Primary

Addresses

Primary practice location

4200 NW 90TH Blvd
Gainesville, FL 32606-3809

Mailing address

4200 NW 90TH Blvd
Gainesville, FL 32606-3809
Phone (352) 378-2121

Other identifiers 1

IdentifierTypeStateIssuer
08087519800MedicaidFL

Other names 1

  • Haven Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

311 NE 9th St
Chiefland, FL 32626
Phone (352) 415-3458

509 Canal St
New Smyrna Beach, FL 32168
Phone (386) 428-0774

741 Blanding Blvd
Orange Park, FL 32065
Phone (352) 415-3458

6400 Saint Johns Ave
Palatka, FL 32177
Phone (352) 415-3458

2497 US Highway 1 S
Saint Augustine, FL 32086
Phone (904) 810-2377

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2024 Change of OwnershipThis provider was the seller Haven HospiceCCN 101515, FL, NPI 1154162857

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1699742783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 90TH BLVD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326063809",
            "telephone_number": "352-378-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CENTRAL FLORIDA HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-378-2121",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "FL",
            "license": "5023096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08087519800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.