Swift Haven

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SWIFT HAVEN

Practice address

2601 E Lake Ave
Tampa, FL 33610-7750

Phone

(813) 853-1333

NPI assigned

Apr 25, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Travis D Jackson

Title

Ceo

Phone

(813) 347-2802

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1682380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1821786195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17902 HOWSMOOR PL",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593922",
            "telephone_number": "813-347-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E LAKE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336107750",
            "telephone_number": "813-853-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWIFT HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-25",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-347-2802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Sweigart, DMD
• Misty B Swendryck, DNP, APRN, AGACNP-BC
• Nisha J. Swezy, MD
• Robert Edward Swick, APRN
• Kylie Rae Swiekatowski
• Ashley Rebecca Swift, MA COUNSELING
• Miya Swift
• Swiftwinds Transportation Tampa LLC
• Sarah E Swigart, PT
• Christopher F Swigon

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.