HEATHER HAVEN III (NPI# 1629485206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629485206 |
| Entity Type | Organization |
| Organization Name | HEATHER HAVEN III |
| Practice Address |
10476 131st Street N Largo FL 33774-4734 |
| Practice Telephone | 7274342770 |
| Mailing Telephone | 7274342770 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | DONNA JEAN DAMIANI (OWNER/CEO) |
| Authorized Official Telephone | 7274342770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
10476 131ST STREET N |
| City | LARGO |
| State | FL |
| Zip Code | 33774-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| 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 |
|---|---|---|---|---|
| 1255983870 | The Oasis Estate Inc. | Assisted Living Facility | 13373 106th Ave, Largo, FL 33774-5515 | 2019-07-13 |
| 1831545789 | Lake House Assisted Living LLC | Assisted Living Facility | 1071 Lake Ave Ne, Largo, FL 33771-1669 | 2016-05-10 |
| 1699166546 | Badjowa Nyan | Assisted Living Facility | 10703 Pookey Way, Largo, MD 20774-6046 | 2015-02-13 |
| 1619394368 | Cabot Cove Assisted Living LLC | Assisted Living Facility | 455 Belcher Rd S, Largo, FL 33771-5522 | 2014-03-19 |
| 1609291731 | Loving Care Assisted Living LLC | Assisted Living Facility | 870 7th Ave Ne, Largo, FL 33770-1628 | 2014-02-26 |
| 1780007906 | Hidden Oaks Assisted Living Center | Assisted Living Facility | 945 7th St Nw, Largo, FL 33770-1178 | 2014-01-23 |
| 1780014738 | Psalm Chronicles Inc | Assisted Living Facility | 1833 Seminole Blvd, Largo, FL 33778-1334 | 2013-11-12 |
| 1801224928 | Cedars Properties Inc | Assisted Living Facility | 1105 Melba Ct, Largo, FL 33770-1616 | 2013-10-29 |
| 1235562190 | Stoeckle Enterprises, Inc. | Assisted Living Facility | 11290 Walsingham Rd, Largo, FL 33778-3101 | 2013-08-14 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| Find all providers in LARGO | ||||
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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.