Heidis Haven - Lady Lake

LBN: Heidis Haven Llc
Heidis Haven - Lady Lake is an health care organization with primary practice located at 39106 Grays Airport Rd , Lady Lake FL 32159-4004. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Heidis Haven Llc can be contacted via phone (352) 787-3034, or through Johnson, Donald William via phone (828) 389-4915.

Contact Information

Primary practice address
39106 Grays Airport Rd Lady Lake FL 32159-4004
Phone: (352) 787-3034
Fax: (352) 787-5979
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Donald William
Phone: (828) 389-4915

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL10397 Florida

Profile Details

NPI number 1073759890
LBN Legal business name Heidis Haven Llc
DBA Doing business as Heidis Haven - Lady Lake
Authorized official Johnson, Donald William
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2008
Last updated Sep 14th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers