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GAHC4 SPRING HAVEN FL TRS SUB LLC NPI 1023527280


NPI Information

NPI: 1023527280
Provider Name: GAHC4 SPRING HAVEN FL TRS SUB, LLC

Doing Business As: SPRING HAVEN RETIREMENT

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1225 HAVENDALE BLVD NW
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 271-7332
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GAHC4 SPRING HAVEN FL TRS SUB, LLC is an assisted living facility in Winter Haven, FL. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GAHC4 SPRING HAVEN FL TRS SUB, LLC NPI is 1023527280. The provider is registered as an organization entity type.
The provider Is Doing Business As Spring Haven Retirement.

The provider's business location address is:

1225 HAVENDALE BLVD NW
WINTER HAVEN, FL
ZIP 33881-349
Phone: (863) 271-7332

The provider's authorized official is Danny Prosky .
The authorized official title is President and has the following contact phone number (949) 270-9200.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 9/20/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityFLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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