Spring Haven Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPRING HAVEN SENIOR LIVING LLC

Practice address

1225 Havendale Blvd NW
Winter Haven, FL 33881-1349

Phone

(863) 293-0072

NPI assigned

May 29, 2023

Last updated

May 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Tapp

Title

Regional Director of Operations

Phone

(727) 418-3148

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1922791748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ULMERTON RD STE 200",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603951",
            "telephone_number": "727-683-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HAVENDALE BLVD NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811349",
            "telephone_number": "863-293-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING HAVEN SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "TAPP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "727-418-3148"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Spring Lake NC, LLC (Spring Lake Rehabilitation Center)
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• SS Polk IV Community HC LLC (Winter Haven Health and Rehabilitation Center)
• St. Luke Physician Partners PLLC

• Assisted Living Facility in Winter Haven, FL
• Providers in Winter Haven, 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 May 29, 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.