HEALTH HAVEN LLC NPI 1265824858

NPI Information

  • NPI: 1265824858
  • Provider Name: HEALTH HAVEN LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Doing Business As: HEALTH HAVEN LLC
  • CLIA Number: 10D2176679
  • Address: 308 NW 5TH AVE
    OKEECHOBEE, FL
    ZIP 34972
  • Phone: (863) 261-8354

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NPI Details

HEALTH HAVEN LLC is a community behavioral health in Okeechobee, FL. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. HEALTH HAVEN LLC NPI is 1265824858. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Health Haven Llc.

The provider's business location address is:

308 NW 5TH AVE
OKEECHOBEE, FL
ZIP 34972-568
Phone: (863) 261-8354
Fax: (786) 221-4107

The provider's authorized official is Mohammad Asim Nisar .
The authorized official title is Medical Director and has the following contact phone number (516) 640-6937.

The CLIA number assigned to this NPI record is 10D2176679 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 9/9/2024.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
2251S00000XCommunity/Behavioral HealthYes
3261Q00000XClinic/CenterME111621FLORIDANo

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: 11/21/2025

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