The Key Haven Group Home Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

100019398 Issued in FL

Legal business name

THE KEY HAVEN GROUP HOME INC

Practice address

300 Key Haven Dr
Sanford, FL 32771-5207

Phone

(407) 562-6374

Fax

(321) 363-4838

NPI assigned

Aug 27, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Lee Downs

Title

President

Phone

(407) 562-6374

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1871993857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KEY HAVEN DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715207",
            "telephone_number": "407-562-6374",
            "fax_number": "321-363-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEY HAVEN DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715207",
            "telephone_number": "407-562-6374",
            "fax_number": "321-363-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KEY HAVEN GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-562-6374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "100031331",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "100019398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Sanford, FL
• Providers in Sanford, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.