GOD'S VIP SENIOR HAVEN, LLC
NPI 1417451600
Assisted Living Facility in Davie, FL

Q: What is God's Vip Senior Haven, LLC's NPI number?

The NPI number for God's Vip Senior Haven, LLC is 1417451600. It was assigned to this organization in the NPPES registry on March 21, 2018.

Q: What is God's Vip Senior Haven, LLC's specialty?

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

Active since March 21, 2018

4681 SW 66TH AVE, DAVIE, FL 33314(954) 581-9111 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About God's Vip Senior Haven, Llc NPPES

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

GOD'S VIP SENIOR HAVEN, LLC (NPI 1417451600) is a healthcare organization registered as an assisted living facility in Davie, Florida and active in the NPI registry since March 2018. The organization lists Robert Petras, Coo, as its authorized official.

NPPES Registry Identity

NPI1417451600

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGOD'S VIP SENIOR HAVEN, LLC

Location Address4681 SW 66TH AVEDavie, FL 33314-4340

Mailing Address3630 Illinois RdFort Wayne, IN 46804-2062 · (708) 309-0864

Phone(954) 581-9111

Organization SubpartNo

Authorized OfficialRobert PetrasCoo · (260) 797-9482

Enumeration DateMarch 21, 2018

✔ NPI 1417451600 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 · 5448

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.

4681 SW 66TH AVE, Davie, FL 33314

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Other Identifiers 1

Other5448FL · Ahca

Other Providers at the Same Location NPPES 4

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

DAVIE CARING OPCO LLC

Assisted Living Facility

4681 SW 66TH AVE
DAVIE, FL 33314

Broward County (954) 581-9111

CARING VILLAGE OF DAVIE LLC

Assisted Living Facility

4681 SW 66TH AVE
DAVIE, FL 33314

Broward County (954) 609-7614

HOANJU ENTERPRISES LLC

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

4681 SW 66TH AVE
DAVIE, FL 33314

Broward County (954) 955-3725

GODS VIP SENIOR HAVEN, LLC

Assisted Living Facility

4681 SW 66TH AVE
DAVIE, FL 33314

Broward County (954) 581-9111

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 God's Vip Senior Haven, LLC's NPI number?

The NPI number for God's Vip Senior Haven, LLC is 1417451600. It was assigned to this organization in the NPPES registry on March 21, 2018.

Where is God's Vip Senior Haven, LLC located?

God's Vip Senior Haven, LLC is located at 4681 SW 66th Ave, Davie, FL 33314. The listed phone number is (954) 581-9111.

What is God's Vip Senior 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 God's Vip Senior Haven, LLC was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.