MEDICARE: LUTHERAN HAVEN EXTENDED CONGREGATE CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	311500000X	Alzheimer Center (Dementia Center)
2	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1316317423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN HAVEN EXTENDED CONGREGATE CARE, LLC

Provider Business Mailing Address
First Line	:	2041 W SR 426
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8548
Country	:	US
Telephone Number	:	407-365-5676
Fax Number	:	407-366-0128

Provider Business Practice Location Address
First Line	:	2035 W SR 426
Second Line	:
City	:	OVIEDO
State	:	FL
Zip	:	32765-8524
Country	:	US
Telephone Number	:	407-365-5676
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JERRY GRIFFING
Credential	:
Telephone Number	:	407-365-5676

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	02/10/2026

Similar Medicare Providers

1174733653 — SUMMERVILLE SENIOR LIVING LLC
Practice Location Address:

1725 PINE BARK POINT
OVIEDO, FL
32765

Practice Phone: 407-977-5250
Practice Fax: 407-977-7122

1164372835 — KAYLA BESWICK
Practice Location Address:

2871 CLAYTON CROSSING WAY , STE 1017 #2023
OVIEDO, FL
32765

Practice Phone: 813-748-8247
Practice Fax:

1346058807 — ANSLEY COURT & COTTAGE OVIEDO LLC
Practice Location Address:

395 ALAFAYA WOODS BLVD
OVIEDO, FL
32765-7095

Practice Phone: 863-226-0358
Practice Fax:

1063755700 — PETER IZZO M.D.
Practice Location Address:

8315 RED BUG LAKE RD
OVIEDO, FL
32765-6860

Practice Phone: 407-599-6193
Practice Fax: 407-599-6194

1205839024 — DR. ERIC M CHAND M.D.
Practice Location Address:

8300 RED BUG LAKE RD
OVIEDO, FL
32765-6801

Practice Phone: 407-890-2179
Practice Fax: 407-890-2181

1326044322 — LUTHERAN HAVEN NURSING HOME AND ASSISTED LIVING FACILITY, LLC
Practice Location Address:

1525 HAVEN DRIVE , ATTN: NURSING HOME ADMINISTRATOR
OVIEDO, FL
32765

Practice Phone: 407-365-3456
Practice Fax: 407-706-1256

Directions to “LUTHERAN HAVEN EXTENDED CONGREGATE CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.