NIC 5 SPRING HAVEN LEASING LLC (NPI# 1992149397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992149397 |
| Entity Type | Organization |
| Organization Name | NIC 5 SPRING HAVEN LEASING LLC |
| Other Organization Name | SPRING HAVEN RETIREMENT COMMUNITY |
| Practice Address |
1225 Nw Havendale Boulevard Winter Haven FL 33881 |
| Mailing Address |
Po Box 1700, Nic 5 Spring Haven Leasing LLC C/o Holiday Retirement Lake Oswego OR 97035 |
| Practice Telephone | 8632930072 |
| Practice Fax Number | 8632944935 |
| Mailing Telephone | 9712458020 |
| Mailing Fax Number | 5034312295 |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2016-12-01 |
| Authorized Official Name | JANE RYU (PRESIDENT/CEO/CFO) |
| Authorized Official Telephone | 2124795270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 5504 | FL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Spring Haven Retirement Community | Doing Business As Name - Organization |
| Street Address |
1225 NW HAVENDALE BOULEVARD |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| 1245491091 | Mid-florida Ob Gyn Hospitalist Physician Services L L C | Obstetrics & Gynecology | 101 Avenue O Ne, Winter Haven, FL 33881 | 2008-06-24 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1245761162 | Melissa Davis | Assisted Living Facility | 4364 Diamond Rd, Winter Haven, FL 33880-1502 | 2017-03-22 |
| 1336688258 | Ambitious Quality Care Assisted Living | Assisted Living Facility | 3939 Country Pl Apt C, Winter Haven, FL 33880-1519 | 2017-02-13 |
| 1023424405 | Autumn Breeze Assisted Living Facility Inc | Assisted Living Facility | 904 Lake Martha Dr Ne, Winter Haven, FL 33881-4278 | 2014-07-07 |
| 1871863787 | Kapaali Holdings LLC | Assisted Living Facility | 2275 8th St Nw, Suite #114, Winter Haven, FL 33881-1331 | 2012-01-09 |
| 1730474420 | Successful Ambitions | Assisted Living Facility | 3939 Country Place Unit C, Winter Haven, FL 33880 | 2011-06-10 |
| 1972805364 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 6110 Cypress Gardens Blvd, Winter Haven, FL 33884-4150 | 2010-11-17 |
| 1366603243 | Liberty Assisted Living | Assisted Living Facility | 5890 Cypress Gardens Blvd, Winter Haven, FL 33884-2274 | 2008-06-23 |
| 1891910337 | Omnia Cum Deo Corp | Assisted Living Facility | 2100 State Road 540 W, Winter Haven, FL 33880-1768 | 2007-04-17 |
| 1851998256 | Miss K's Enrichment Center Inc Dba Campbell's Landing Assisted Living | Assisted Living Facility | 904 Lake Martha Dr Ne, Winter Haven, FL 33881-4278 | 2020-10-08 |
| 1215591144 | Sh Lake Howard, LLC | Assisted Living Facility | 650 N Lake Howard Dr, Winter Haven, FL 33881-3162 | 2019-04-25 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on NIC 5 SPRING HAVEN LEASING 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.