NIC 5 SPRING HAVEN LEASING LLC NPI 1992149397

NPI Information

  • NPI: 1992149397
  • Provider Name: NIC 5 SPRING HAVEN LEASING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: SPRING HAVEN RETIREMENT COMMUNITY
  • CLIA Number: 10D2093599
  • Address: 1225 NW HAVENDALE BOULEVARD
    WINTER HAVEN, FL
    ZIP 33881
  • Phone: (863) 293-0072

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NPI Details

NIC 5 SPRING HAVEN LEASING LLC is an assisted living facility in Winter Haven, 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. NIC 5 SPRING HAVEN LEASING LLC NPI is 1992149397. The provider is registered as an organization entity type.
The provider Is Doing Business As Spring Haven Retirement Community.

The provider's business location address is:

1225 NW HAVENDALE BOULEVARD
WINTER HAVEN, FL
ZIP 33881
Phone: (863) 293-0072
Fax: (863) 294-4935

The provider's authorized official is Jane Ryu .
The authorized official title is President/ceo/cfo and has the following contact phone number (212) 479-5270.

The CLIA number assigned to this NPI record is 10D2093599 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2013 and was last updated on 12/1/2016.

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 Facility5504FLORIDAYes

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: 3/30/2025

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