HAVEN LEE HOMES LLC NPI 1326674888

NPI Information

NPI: 1326674888
Provider Name: HAVEN LEE HOMES LLC
Classification: Nursing Home Administrator - 376G00000X
Entity Type: Organization
Address: 760 WATTLES RD
BLOOMFIELD HILLS, MI
ZIP 48304
Phone: (248) 550-6544

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NPI Details

HAVEN LEE HOMES LLC is a nursing home administrator in Bloomfield Hills, MI. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. HAVEN LEE HOMES LLC NPI is 1326674888. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

760 WATTLES RD
BLOOMFIELD HILLS, MI
ZIP 48304-279
Phone: (248) 550-6544

The provider's authorized official is Andrea Agudelo .
The authorized official title is Administrator and has the following contact phone number (248) 885-5885.

The enumeration date for this NPI number is 3/17/2020 and was last updated on 3/17/2020.

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
1	376G00000X	Nursing Home Administrator				Yes

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
1	AS630385908	OTHER	MICHIGAN	ADULT FOSTER CARE LICENSE

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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