=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508666405
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AHAVA GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2025
-----------------------------------------------------
Last Update Date | 03/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1825 HILLER RD
-----------------------------------------------------
City | WEST BLOOMFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48324-1134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-760-6543
-----------------------------------------------------
Fax | 888-780-8575
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1825 HILLER RD
-----------------------------------------------------
City | WEST BLOOMFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48324-1134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-760-6543
-----------------------------------------------------
Fax | 888-780-8575
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | CLAUDIU MARIT
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 248-760-6543
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------