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BLUE HAVEN ASSISTED LIVING INC NPI 1518359363


NPI Information

NPI: 1518359363
Provider Name: BLUE HAVEN ASSISTED LIVING, INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
35525 COUNTY ROAD 473
LEESBURG, FL
ZIP 34788
Phone: (352) 314-0422
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BLUE HAVEN ASSISTED LIVING, INC is an assisted living facility in Leesburg, 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. BLUE HAVEN ASSISTED LIVING, INC NPI is 1518359363. The provider is registered as an organization entity type.

The provider's business location address is:

35525 COUNTY ROAD 473
LEESBURG, FL
ZIP 34788-161
Phone: (352) 314-0422
Fax: (352) 314-0423

The provider's authorized official is Leytonya Hargrove .
The authorized official title is Administrator and has the following contact phone number (352) 409-3585.

The enumeration date for this NPI number is 3/2/2015 and was last updated on 3/2/2015.


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 FacilityAL11984FLORIDAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.