HENDERSON HAVEN INC
NPI 1427013655
Day Training, Developmentally Disabled Services in Orange Park, FL

Active since April 19, 2006
2554 MOODY AVE, ORANGE PARK, FL 32073(904) 264-2522(904) 215-7338 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Henderson Haven Inc NPPES

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

HENDERSON HAVEN INC (NPI 1427013655) is a healthcare organization registered as a day training, developmentally disabled services in Orange Park, Florida and active in the NPI registry since April 2006. The organization lists Lee Henderson, Pres Ceo, as its authorized official.

NPPES Registry Identity

NPI1427013655
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameHENDERSON HAVEN INC
Location Address2554 MOODY AVEOrange Park, FL 32073-5937
Mailing Address2554 Moody AveOrange Park, FL 32073-5937 · (904) 264-2522 · Fax (904) 215-7338
Fax(904) 215-7338
Organization SubpartNo
Authorized OfficialLee HendersonPres Ceo · (904) 264-2522
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 21, 2022
NPI 1427013655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code251C00000X
License Licensed in FL · F001
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedVoluntary or CharitableTaxonomy 251V00000X · License CH17033 (FL)
Also ListedPoint of ServiceTaxonomy 305S00000X · License F001 (FL)
2554 MOODY AVE, Orange Park, FL 32073

Other Identifiers 2

Medicaid683650096FL
Medicaid683650098FL

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 Henderson Haven Inc's NPI number?

The NPI number for Henderson Haven Inc is 1427013655. It was assigned to this organization in the NPPES registry on April 19, 2006.

Where is Henderson Haven Inc located?

Henderson Haven Inc is located at 2554 Moody Ave, Orange Park, FL 32073. The listed phone number is (904) 264-2522.

What is Henderson Haven Inc's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Henderson Haven Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.