HAVEN HOLISTIC CENTER, LLC (NPI# 1649676313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649676313 |
| Entity Type | Organization |
| Organization Name | HAVEN HOLISTIC CENTER, LLC |
| Practice Address |
7800 Sheridan St Pembroke Pines FL 33024-2536 |
| Mailing Address |
Po Box 8895 Coral Springs FL 33075-8895 |
| Practice Telephone | 9542245640 |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |
| Authorized Official Name | DR. LISA MERCONCHINI (CEO) |
| Authorized Official Telephone | 9544155343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
7800 SHERIDAN ST |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33024-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356337026 | Dexter C Sereda | Surgery | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2005-09-27 |
| 1477171932 | Bindu Koshy | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-07-10 |
| 1093355190 | Ponnila Srinivasan | Registered Nurse | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2020-01-07 |
| 1336655455 | Ryan Gregory Phillips | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-12-27 |
| 1205351244 | Shoji Aji | Nurse Practitioner | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-08-10 |
| 1902331127 | Guardian Hospitalist, LLC | Hospitalist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-04-25 |
| 1619417227 | Jessica Fugitt | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2017-03-01 |
| 1386006385 | Kristen Selema | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2016-03-28 |
| 1811362114 | Alin Buleu | Pharmacist | 7800 Sheridan St, Pembroke Pines, FL 33024-2536 | 2015-12-11 |
| 1609271352 | Paul Sojo-trujillo | Internal Medicine | 7800 Sheridan St, Pembroke Pines, FL 33024 | 2014-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558806042 | Second Chance Detox, LLC | Substance Abuse Rehabilitation Facility | 1151 Poinciana Dr, Pembroke Pines, FL 33025-4561 | 2016-12-20 |
| 1407301096 | Ocean Breeze Detox LLC | Substance Abuse Rehabilitation Facility | 8401 South Palm Drive, Building #60, Pembroke Pines, FL 33025-4563 | 2016-08-24 |
| 1851638084 | Greenlife Iop Program | Substance Abuse Rehabilitation Facility | 282 Nw 162nd Ave, Pembroke Pines, FL 33028-1147 | 2013-01-08 |
| 1013010222 | Susan B. Anthony Center, Inc. | Substance Abuse Rehabilitation Facility | 1633 Poinciana Dr, Pembroke Pines, FL 33025-4587 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33024 |
Please comment or provide details below to improve the information on HAVEN HOLISTIC CENTER, 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.