Henderson Haven Inc
LBN: Henderson Haven Inc
Henderson Haven Inc is an health care organization with primary practice located at 2554 Moody Ave , Orange Park FL 32073-5937. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Voluntary or Charitable, Managed Care Organizations / Point of Service. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty.
Henderson Haven Inc can be contacted via phone (904) 264-2522, or through Henderson, Lee via phone (904) 264-2522.
Contact Information
Primary practice address
2554 Moody Ave
Orange Park FL 32073-5937
Phone: (904) 264-2522
Fax: (904) 215-7338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | F001 | Florida |
| Agencies / Voluntary or Charitable | 251V00000X | CH17033 | Florida |
| Managed Care Organizations / Point of Service | 305S00000X | F001 | Florida |
Profile Details
| NPI number | 1427013655 |
|---|---|
| LBN Legal business name | Henderson Haven Inc |
| DBA Doing business as | |
| Authorized official | Henderson, Lee |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427013655 | NPPES |
| Florida | MEDICAID | 683650096 | |
| Florida | MEDICAID | 683650098 |
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