1. Home
  2. Directory
  3. Alabama
  4. Crossville
  5. Nurse Practitioner
  6. NPI Profile

HARBOR HAVEN LLC
NPI 1104691583
Nurse Practitioner in Crossville, AL

Active since November 16, 2023
819 COUNTY ROAD 34, CROSSVILLE, AL 35962(256) 302-9721(256) 910-0819 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Nov 16, 2023 (2 updates tracked since 2023).

About Harbor Haven Llc NPPES

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

HARBOR HAVEN LLC (NPI 1104691583) is a healthcare organization registered as a nurse practitioner in Crossville, Alabama and active in the NPI registry since November 2023. The organization lists Sandra Lemons, Owner, as its authorized official.

NPPES Registry Identity

NPI1104691583
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameHARBOR HAVEN LLC
Location Address819 COUNTY ROAD 34Crossville, AL 35962-3334
Mailing Address819 County Road 34Crossville, AL 35962-3334 · (256) 302-9721 · Fax (256) 910-0819
Phone(256) 302-9721
Fax(256) 910-0819
Organization SubpartNo
Authorized OfficialSandra LemonsOwner · (256) 302-9721
Enumeration DateNovember 16, 2023
Last NPPES UpdateDecember 17, 20252 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1104691583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
819 COUNTY ROAD 34, Crossville, AL 35962
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Haven Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harbor Haven LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sandra Lemons
Nurse Practitioner
NPI 1821440017
819 COUNTY ROAD 34
Crossville, AL 35962
(256) 302-9721
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Harbor Haven LLC's NPI number?

The NPI number for Harbor Haven LLC is 1104691583. It was assigned to this organization in the NPPES registry on November 16, 2023.

Where is Harbor Haven LLC located?

Harbor Haven LLC is located at 819 County Road 34, Crossville, AL 35962. The listed phone number is (256) 302-9721.

What is Harbor Haven LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Harbor Haven LLC enrolled in Medicare?

Yes. Harbor Haven LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Haven LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Harbor Haven LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Harbor Haven LLC was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.