Peaceful Haven Ranch Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

10-1606GH Issued in FL

Legal business name

PEACEFUL HAVEN RANCH GROUP HOME

Practice address

12601 Stirling Rd
Southwest Ranches, FL 33330-3215

Phone

(954) 689-0151

Fax

(954) 680-9474

NPI assigned

Jan 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Alberto E Fernandez

Title

President

Phone

(954) 689-0151

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nuzhat A Abbasi, MD

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1184655466
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1982881702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 STIRLING RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303215",
            "telephone_number": "954-689-0151",
            "fax_number": "954-680-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 STIRLING RD",
            "city": "SOUTHWEST RANCHES",
            "state": "FL",
            "postal_code": "333303215",
            "telephone_number": "954-689-0151",
            "fax_number": "954-680-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HAVEN RANCH GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-689-0151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "10-1606GH",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "FL",
            "license": "10-1607GH",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olive Branch Care LLC
• Pedro Oramas Pena
• Orthonow Weston
• Alicia Paez
• Yelena Pakula, A.P.
• Maria D Pelkey, COTA/L
• Elyssa Penalver, APRN
• Cristina Perez
• Michael Daniel Perez
• Tatyana Pescova, A.P.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Southwest Ranches, FL
• Providers in Southwest Ranches, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.