THE HAVEN DETOX FT. PIERCE, LLC
NPI 1205209004
Substance Abuse Rehabilitation Facility in Fort Pierce, FL

Q: What is The Haven Detox Ft. Pierce, LLC's NPI number?

The NPI number for The Haven Detox Ft. Pierce, LLC is 1205209004. It was assigned to this organization in the NPPES registry on November 3, 2015.

Q: What is The Haven Detox Ft. Pierce, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since November 03, 2015

4707 OLEANDER AVE, FORT PIERCE, FL 34982(561) 616-9000 Get Directions Write a Review

NPPES record last updated: November 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About The Haven Detox Ft. Pierce, Llc NPPES

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

THE HAVEN DETOX FT. PIERCE, LLC (NPI 1205209004) is a healthcare organization registered as a substance abuse rehabilitation facility in Fort Pierce, Florida and active in the NPI registry since November 2015. The organization lists Kirill Vesselov, President, as its authorized official.

NPPES Registry Identity

NPI1205209004

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameTHE HAVEN DETOX FT. PIERCE, LLC

Location Address4707 OLEANDER AVEFort Pierce, FL 34982-4209

Mailing Address3951 Haverhill Rd N, Apt 120-121West Palm Beach, FL 33417-8154 · (561) 616-9000

Phone(561) 616-9000

Organization SubpartNo

Authorized OfficialKirill VesselovPresident · (561) 616-9000

Enumeration DateNovember 3, 2015

✔ NPI 1205209004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

4707 OLEANDER AVE, Fort Pierce, FL 34982

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Other Providers at the Same Location NPPES

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

DEVINE SENIOR CARE, INC.

Assisted Living Facility

4707 OLEANDER AVE
FT. PIERCE, FL 34982

St. Lucie County (772) 467-0668

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 The Haven Detox Ft. Pierce, LLC's NPI number?

The NPI number for The Haven Detox Ft. Pierce, LLC is 1205209004. It was assigned to this organization in the NPPES registry on November 3, 2015.

Where is The Haven Detox Ft. Pierce, LLC located?

The Haven Detox Ft. Pierce, LLC is located at 4707 Oleander Ave, Fort Pierce, FL 34982. The listed phone number is (561) 616-9000.

What is The Haven Detox Ft. Pierce, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for The Haven Detox Ft. Pierce, LLC was last updated on November 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.