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HEIDIS HAVEN-LA SALIDA
NPI 1255769840
Assisted Living Facility in Leesburg, FL

Active since October 17, 2013
1215 LA SALIDA WAY, LEESBURG, FL 34748(352) 787-3034(352) 787-5979 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heidis Haven-la Salida NPPES

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

HEIDIS HAVEN-LA SALIDA (NPI 1255769840) is a healthcare organization registered as an assisted living facility in Leesburg, Florida and active in the NPI registry since October 2013. The organization lists Donald William Johnson, Owner/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1255769840
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEIDIS HAVEN LLC
Location Address1215 LA SALIDA WAYLeesburg, FL 34748-8272
Mailing Address1215 La Salida WayLeesburg, FL 34748-8272 · (352) 787-3034 · Fax (352) 787-5979
Phone(352) 787-3034
Fax(352) 787-5979
Organization SubpartNo
Authorized OfficialDonald William JohnsonOwner/ Administrator · (352) 787-3034
Enumeration DateOctober 17, 2013
✔ NPI 1255769840 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 · AL11848
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.
1215 LA SALIDA WAY, Leesburg, FL 34748
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Other Names 1

Doing Business AsHeidis Haven-la Salida

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
1215 LA SALIDA WAY
LEESBURG, FL 34748
Lake County (352) 787-3034

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 1255769840. It was assigned to this organization in the NPPES registry on October 17, 2013. The provider is doing business as Heidis Haven-La Salida.

Where is Heidis Haven LLC located?

Heidis Haven LLC is located at 1215 La Salida Way, Leesburg, FL 34748. 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 October 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.