Healthcare Provider Details

I. General information

NPI: 1457273344
Provider Name (Legal Business Name): LUXEHAVEN CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15127 GOLDSPAR CT
WESTLAKE FL
33470-7070
US

IV. Provider business mailing address

15127 GOLDSPAR CT
WESTLAKE FL
33470-7070
US

V. Phone/Fax

Practice location:
  • Phone: 561-200-5970
  • 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: CHRYSTAL BOWEN
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 561-200-5970