Haven of Our Lady of Peace, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAVEN OF OUR LADY OF PEACE, INC.

Practice address

1900 Summit Blvd
Pensacola, FL 32503-3359

Phone

(850) 436-5900

Fax

(850) 436-5959

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Martha Perez

Title

Administrator

Phone

(850) 436-5900

Specialties & licenses 2

Addresses

Other identifiers 2

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Sacred Heart Health System, Inc.

  • Hematology & Oncology Physician
  • Pensacola, FL
  • NPI 1326099763

  Member Of

  NPD member
• Methodist Home for the Aging

  • Skilled Nursing Facility
  • Birmingham, AL
  • NPI 1528177615

  Member Of

  NPD member

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1851321087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2728",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132728",
            "telephone_number": "850-416-7070",
            "fax_number": "850-416-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SUMMIT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325033359",
            "telephone_number": "850-436-5900",
            "fax_number": "850-436-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF OUR LADY OF PEACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-436-5900"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "M3X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025883100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela P Hatcher, PH.D.
• Thomas Carleton Hathaway IV, M. D.
• Linda K Hatler, PH.D., PA-C
• Benjamin James Havard, MD
• Haven Health Consulting LLC
• Havens SNF Operator LLC
• Jaclyn Havinga, MD
• Skylar Hawley
• Karen H Haworth, LCSW
• Richard Dawson Hawthorne, D.O.

• Skilled Nursing Facility in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.