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HAVENCREST ALF LLC NPI 1245677780


NPI Information

NPI: 1245677780
Provider Name: HAVENCREST ALF, LLC

Doing Business As: HAVENCREST ALF III

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
4471 COCONUT CREEK BLVD
COCONUT CREEK, FL
ZIP 33066
Phone: (954) 971-4289
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HAVENCREST ALF, LLC is an assisted living facility in Coconut Creek, 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. HAVENCREST ALF, LLC NPI is 1245677780. The provider is registered as an organization entity type.
The provider Is Doing Business As Havencrest Alf Iii.

The provider's business location address is:

4471 COCONUT CREEK BLVD
COCONUT CREEK, FL
ZIP 33066-742
Phone: (954) 971-4289
Fax: (954) 345-7123

The provider's authorized official is Yvonne Johnson .
The authorized official title is Owner and has the following contact phone number (954) 683-3945.

The enumeration date for this NPI number is 5/23/2013 and was last updated on 5/23/2013.


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 FacilityAL10229FLORIDAYes

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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