NPIMap

Organization Active NPI

Havencrest Alf, LLC

  • Assisted Living Facility
  • Coral Springs, FL
National Provider Identifier
1912344458
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9357 Issued in FL
Legal business name
HAVENCREST ALF, LLC
Practice address
4280 NW 113TH Ave
Coral Springs, FL 33065-7778
Phone
(954) 345-2362
Fax
(954) 345-7123
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Yvonne Johnson
Title
Owner
Phone
(954) 683-3945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9357 FL Primary

Addresses

Primary practice location

4280 NW 113TH Ave
Coral Springs, FL 33065-7778

Mailing address

4280 NW 113TH Ave
Coral Springs, FL 33065-7778
Phone (954) 345-2362

Other names 1

  • Havencrest Assisted Living Facility, LLC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Havencrest Alf LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1912344458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 NW 113TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657778",
            "telephone_number": "954-345-2362",
            "fax_number": "954-345-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 NW 113TH AVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330657778",
            "telephone_number": "954-345-2362",
            "fax_number": "954-345-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENCREST ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-683-3945"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL9357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havencrest Assisted Living Facility, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.