HAVENCREST ALF, LLC (NPI# 1245677780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245677780 |
| Entity Type | Organization |
| Organization Name | HAVENCREST ALF, LLC |
| Other Organization Name | HAVENCREST ALF III |
| Practice Address |
4471 Coconut Creek Blvd Coconut Creek FL 33066-1742 |
| Practice Telephone | 9549714289 |
| Practice Fax Number | 9543457123 |
| Mailing Telephone | 9549714289 |
| Mailing Fax Number | 9543457123 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | YVONNE JOHNSON (OWNER) |
| Authorized Official Telephone | 9546833945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL10229 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Havencrest ALF III | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912344458 | Havencrest Alf, LLC | Assisted Living Facility | 4280 Nw 113th Ave, Coral Springs, FL 33065-7778 | 2013-05-23 |
| Street Address |
4471 COCONUT CREEK BLVD |
| City | COCONUT CREEK |
| State | FL |
| Zip Code | 33066-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740636992 | Highbridge Care Homewood LLC | Home Health | 3880 Coconut Creek Parkway, Suite 202, Coconut Creek, FL 33066 | 2016-05-06 |
| 1568708873 | Amelia Hernandez | Technician, Other | 2899 Carambola Cir S, Coconut Creek, FL 33066 | 2012-12-14 |
| 1265606537 | Medcap Investment Group LLC | Pharmacy | 1001 Wynmoor Circle, Coconut Creek, FL 33066 | 2008-04-17 |
| 1164609210 | Lee Brown | Family Medicine | 3840 Coconut Creek Parkway, Coconut Creek, FL 33066 | 2008-01-30 |
| 1891392098 | Brittany D Knight | Behavior Technician | 3720 Coconut Creek Pkwy Ste D, Coconut Creek, FL 33066 | 2020-10-01 |
| 1992819767 | Michael P Angelillo | Internal Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1326152190 | Stephen W White | Family Medicine | 3880 Coconut Creek Pkwy, #100, Coconut Creek, FL 33066 | 2006-08-18 |
| 1720220775 | Focus On Health Rx LLC | Durable Medical Equipment & Medical Supplies | 1001 Wynmoor Circle, Coconut Creek, FL 33066-0000 | 2009-04-06 |
| 1306372156 | Wiiliam Aldrich | Behavior Technician | 2201 Lucaya Bnd, M1, Coconut Creek, FL 33066-1154 | 2017-05-11 |
| 1104485242 | Paul C Kopp | Assisted Living Facility | 3201 Portofino Pt Apt M2, Coconut Creek, FL 33066-1241 | 2019-06-12 |
| Find all providers in zip 33066 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104485242 | Paul C Kopp | Assisted Living Facility | 3201 Portofino Pt Apt M2, Coconut Creek, FL 33066-1241 | 2019-06-12 |
| 1700233749 | Rockwell Seniors II | Assisted Living Facility | 5030 Nw 44th Ave, Coconut Creek, FL 33073-2929 | 2016-05-19 |
| 1356711741 | Golden Retreat At Coconut Creek | Assisted Living Facility | 5101 Nw 47th Ave, Coconut Creek, FL 33073-4942 | 2015-09-29 |
| 1336581131 | Coconut Creek Alf Inc | Assisted Living Facility | 3420 Nw 71st St, Coconut Creek, FL 33073-4801 | 2013-07-22 |
| 1700223245 | Havencrest II Alf, Inc | Assisted Living Facility | 4244 Nw 51st St, Coconut Creek, FL 33073-2938 | 2013-05-23 |
| 1366886418 | Senior Living Properties IIi, LLC | Assisted Living Facility | 4611 Johnson Rd, Suite 1, Coconut Creek, FL 33073-4361 | 2013-04-19 |
| 1689935025 | D & D Special Care | Assisted Living Facility | 5760 Nw 40th Ter, Coconut Creek, FL 33073-4055 | 2012-06-01 |
| 1447552872 | Arc Coconut Creek, LLC | Assisted Living Facility | 4175 W Sample Rd, Coconut Creek, FL 33073-4456 | 2010-11-17 |
| 1538496229 | Gloden Swan Alf, Inc. | Assisted Living Facility | 4755 Nw 76th St, Coconut Creek, FL 33073-2706 | 2009-11-17 |
| 1356817290 | Golden Retreat Senior Living Inc | Assisted Living Facility | 5101 Nw 47th Ave, Coconut Creek, FL 33073-4942 | 2018-10-18 |
| Find all providers in COCONUT CREEK | ||||
| City | COCONUT CREEK |
| Zip Code | 33066 |
Please comment or provide details below to improve the information on HAVENCREST ALF, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.