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MAGGIES HAVEN LLC NPI 1053003889


NPI Information

NPI: 1053003889
Provider Name: MAGGIES HAVEN, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
636 PALMETTO ST
EUSTIS, FL
ZIP 32726
Phone: (352) 602-1175
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MAGGIES HAVEN, LLC is an in home supportive care in Eustis, FL. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. MAGGIES HAVEN, LLC NPI is 1053003889. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

636 PALMETTO ST
EUSTIS, FL
ZIP 32726-123
Phone: (352) 602-1175

The provider's authorized official is Laquita M Green-norflee .
The authorized official title is Mgr and has the following contact phone number (352) 602-1175.

The enumeration date for this NPI number is 5/22/2023 and was last updated on 1/16/2024.


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
1376J00000XHomemakerNo
2372600000XAdult CompanionNo
3253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1117291100MEDICAIDFLORIDA

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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