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MYRTLE'S HAVEN LLC
NPI 1104504083
Assisted Living Facility in Palm Bay, FL

Active since July 10, 2023
475 SHERMAN ST SE, PALM BAY, FL 32909(617) 438-2866(321) 951-4070 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Myrtle's Haven Llc NPPES

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

MYRTLE'S HAVEN LLC (NPI 1104504083) is a healthcare organization registered as an assisted living facility in Palm Bay, Florida and active in the NPI registry since July 2023. The organization lists Analisa Duncan, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104504083
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMYRTLE'S HAVEN LLC
Location Address475 SHERMAN ST SEPalm Bay, FL 32909
Mailing Address410 Mercer St NwPalm Bay, FL 32907-2933 · (617) 438-2866
Phone(617) 438-2866
Fax(321) 951-4070
Organization SubpartNo
Authorized OfficialAnalisa DuncanAdministrator · (617) 438-2866
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 1, 2023
✔ NPI 1104504083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
475 SHERMAN ST SE, Palm Bay, FL 32909
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Other Names 1

Doing Business AsMyrtle's Haven Llc

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 Myrtle's Haven LLC's NPI number?

The NPI number for Myrtle's Haven LLC is 1104504083. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Myrtle's Haven LLC located?

Myrtle's Haven LLC is located at 475 Sherman St SE, Palm Bay, FL 32909. The listed phone number is (617) 438-2866.

What is Myrtle's 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 Myrtle's Haven LLC was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.