Healthcare Provider Details

I. General information

NPI: 1497148365
Provider Name (Legal Business Name): HAVEN HHC 8 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2015
Last Update Date: 03/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8795 TAMIAMI TRAIL EAST SUITE 201
NAPLES FL
34113
US

IV. Provider business mailing address

12435 WOODGATE DR
PLYMOUTH MI
48170
US

V. Phone/Fax

Practice location:
  • Phone: 844-428-3644
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SAAGMAN
Title or Position: MANAGER
Credential:
Phone: 734-578-4550