Palm Haven Assisted Living, Inc.

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

PTA012528 Issued in FL

Legal business name

PALM HAVEN ASSISTED LIVING, INC.

Practice address

1646 W River Dr
Margate, FL 33063-2729

Phone

(954) 471-6303

NPI assigned

Mar 1, 2010

Organization subpart

No

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

Authorized official

Name

Zeb Gardner

Title

President

Phone

(954) 471-6303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1770806002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 W RIVER DR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 W RIVER DR",
            "city": "MARGATE",
            "state": "FL",
            "postal_code": "330632729",
            "telephone_number": "954-471-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM HAVEN ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ZEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-471-6303"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "FL",
            "license": "PTA012528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Overby
• Pedro Padron, DDS
• Seng Palencia-Vasquez, RN
• Palm Arbor Residence of Margate
• Palm Beach Radiology Professionals, PA
• Caroline J. Palmer, PT
• Soraya Papayoute, LCSW
• Roseline Paraisy
• Paramount Wound Care Inc
• Parc Lorraine East and West, Inc.

• Assisted Living Facility (Behavioral Disturbances) in Margate, FL
• Providers in Margate, FL by specialty
• Assisted Living Facility (Behavioral Disturbances) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.