HEIDIS HAVEN - LADY LAKE
NPI 1073759890
Assisted Living Facility in Lady Lake, FL

Q: What is Heidis Haven LLC's NPI number?

The NPI number for Heidis Haven LLC is 1073759890. It was assigned to this organization in the NPPES registry on December 29, 2008. The provider is doing business as Heidis Haven - Lady Lake.

Q: What is Heidis Haven LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Q: When was this NPI record last updated?

The NPPES record for Heidis Haven LLC was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 29, 2008

39106 GRAYS AIRPORT RD, LADY LAKE, FL 32159(352) 787-3034(352) 787-5979 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heidis Haven - Lady Lake NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEIDIS HAVEN - LADY LAKE (NPI 1073759890) is a healthcare organization registered as an assisted living facility in Lady Lake, Florida and active in the NPI registry since December 2008. The organization lists Donald William Johnson, Owner/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1073759890

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameHEIDIS HAVEN LLC

Location Address39106 GRAYS AIRPORT RDLady Lake, FL 32159-4004

Mailing Address51 Barlow Fields DrHayesville, NC 28904-9485 · (828) 389-4915

Phone(352) 787-3034

Fax(352) 787-5979

Organization SubpartNo

Authorized OfficialDonald William JohnsonOwner/ Administrator · (828) 389-4915

Enumeration DateDecember 29, 2008

Last NPPES UpdateSeptember 14, 2016

✔ NPI 1073759890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL10397

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

39106 GRAYS AIRPORT RD, Lady Lake, FL 32159

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Other Names 1

Doing Business AsHeidis Haven - Lady Lake

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUBIS ENTERPRISE LLC

Assisted Living Facility

39106 GRAYS AIRPORT RD
LADY LAKE, FL 32159

Lake County (352) 750-9150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heidis Haven LLC's NPI number?

The NPI number for Heidis Haven LLC is 1073759890. It was assigned to this organization in the NPPES registry on December 29, 2008. The provider is doing business as Heidis Haven - Lady Lake.

Where is Heidis Haven LLC located?

Heidis Haven LLC is located at 39106 Grays Airport Rd, Lady Lake, FL 32159. The listed phone number is (352) 787-3034.

What is Heidis Haven LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Heidis Haven LLC was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.