Nina'S Haven Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

10795 Issued in FL

Legal business name

NINA'S HAVEN INC.

Practice address

10620 Sunset Strip
Sunrise, FL 33322-2618

Phone

(954) 404-4423

Fax

(954) 380-9537

NPI assigned

Sep 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Edwards

Title

President/Administrator

Phone

(954) 404-4423

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1922556521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10411 NW 21ST CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223512",
            "telephone_number": "954-746-6732",
            "fax_number": "954-380-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10620 SUNSET STRIP",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333222618",
            "telephone_number": "954-404-4423",
            "fax_number": "954-380-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NINA'S HAVEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "954-404-4423",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "10795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.