HAVEN LEE HOMES LLC (NPI# 1326674888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326674888 |
| Entity Type | Organization |
| Organization Name | HAVEN LEE HOMES LLC |
| Practice Address |
760 Wattles Rd Bloomfield Hills MI 48304-3279 |
| Practice Telephone | 2485506544 |
| Mailing Telephone | 2485506544 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | MRS. ANDREA AGUDELO (ADMINISTRATOR) |
| Authorized Official Telephone | 2488855885 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ADULT FOSTER CARE LICENSE | AS630385908 | 01 |
| Street Address |
760 WATTLES RD |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48304-3279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093346462 | Easy Living Assistance | Adult Companion | 41000 Woodward Ave Suite E 350, Bloomfield Twp, MI 48304 | 2020-02-04 |
| 1013499979 | Bloomfield Hills Dental Associates Pllc | Dentist | 36700 Woodward Avenue, Suite 200, Bloomfield Hills, MI 48304 | 2018-09-06 |
| 1780191965 | Donna Jane Bishop | Social Worker | 549 Kingsley Trail, Bloomfield Hills, MI 48304 | 2018-01-09 |
| 1750730636 | Rana Karcho | Occupational Therapist | 40800 Woodward Ave., Bloomfield Hills, MI 48304 | 2016-06-10 |
| 1447607684 | Jennifer Ramsey-martin | Technician, Other | 458 Fox Hills Dr. N. Apt #7, Bloomfield Hills, MI 48304 | 2016-05-18 |
| 1922438811 | Rachel Mary Eshkanian | Counselor | 41000 Woodward Avenue, Suite 350 East, Bloomfield Hills, MI 48304 | 2013-11-14 |
| 1578887535 | Earle W. Spohn Jr. D.o. P.C. | Surgery | 27 Balfour Dr, Bloomfield Hills, MI 48304 | 2010-03-19 |
| 1710110440 | John Hazlett Mclaughlin | Surgery | 756 Briar Hill Lane, Bloomfield Hills, MI 48304 | 2009-08-28 |
| 1710120597 | Bala Shanker Prasad | Orthopaedic Surgery | 264, Pine Ridge Dr, Bloomfield Hills, MI 48304 | 2009-04-09 |
| 1083862460 | Nermeen Hassan Elnabtity | Dentist | 950 Southdown Rd, Bloomfield Hills, MI 48304 | 2008-08-28 |
| Find all providers in zip 48304 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977561 | Anna Bakkour | Nursing Home Administrator | 6312 Whitefield St, Dearborn Heights, MI 48127-4815 | 2020-09-16 |
| 1649888280 | Latifah Wadeedah Jones | Nursing Home Administrator | 849 E Grand Blvd, Detroit, MI 48207-2551 | 2020-07-20 |
| 1710508569 | Santias Place LLC | Nursing Home Administrator | 7370 Cornwall Ct, West Bloomfield, MI 48322-4069 | 2020-05-04 |
| 1750902755 | Theresa Ann Posey | Nursing Home Administrator | 8470 Parshallville Rd, Fenton, MI 48430-9211 | 2020-04-30 |
| 1912541038 | Debra Phillip | Nursing Home Administrator | 25775 Larkins St, Southfield, MI 48033-4852 | 2019-10-31 |
| 1154965366 | Joshua Phillip | Nursing Home Administrator | 21691 Fairway Dr, Southfield, MI 48033-4314 | 2019-10-30 |
| 1922516384 | Cynthia Clair Reese | Nursing Home Administrator | 22625 Glendale, Det, MI 48223 | 2018-01-18 |
| 1457877110 | Larese Wood | Nursing Home Administrator | 26505 Coolidge Hwy, Oak Park, MI 48237-1114 | 2017-08-15 |
| 1063955565 | Cheryl Lamar | Nursing Home Administrator | 27900 Sumpter Rd, New Boston, MI 48164-9621 | 2016-12-01 |
| 1932571031 | Carrie Hunt | Nursing Home Administrator | 215 Rivershore Dr, Elk Rapids, MI 49629-9753 | 2015-10-28 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48304 |
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| 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.