CARE HAVEN LLC
NPI 1679226773
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Largo, FL

Active since January 28, 2022
1746 30TH LN SW FL 33774, LARGO, FL 33774(727) 637-8615(813) 925-6184 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Care Haven Llc NPPES

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

CARE HAVEN LLC (NPI 1679226773) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Largo, Florida and active in the NPI registry since January 2022. The organization maintains 2 additional practice locations and lists Julia V Dervisevic, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1679226773
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameCARE HAVEN LLC
Location Address1746 30TH LN SW FL 33774Largo, FL 33774-1415
Mailing Address762 Colony LnLargo, FL 33770-2963 · (727) 637-8615 · Fax (813) 925-6184
Fax(813) 925-6184
Organization SubpartNo
Authorized OfficialJulia V DervisevicCo-owner · (727) 637-8615
Enumeration DateJanuary 28, 2022
NPPES CertifiedJanuary 28, 2022
NPI 1679226773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1746 30TH LN SW FL 33774, Largo, FL 33774

Other Names 1

Other NameCare Haven

Secondary Practice Locations 2

Location 1702 10th St NW Fl 33770Largo, FL 33770-2386 · Phone (727) 687-4245 · Fax (813) 925-6184
Location 22290 8th Ave SW # 2290Largo, FL 33770-2940 · Phone (727) 637-8615 · Fax (813) 925-6184

Other Identifiers 1

Medicaid008423100FL

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 Care Haven LLC's NPI number?

The NPI number for Care Haven LLC is 1679226773. It was assigned to this organization in the NPPES registry on January 28, 2022. The provider is also known as Care Haven.

Where is Care Haven LLC located?

Care Haven LLC is located at 1746 30th Ln SW Fl 33774, Largo, FL 33774. The listed phone number is (727) 637-8615.

What is Care Haven LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Care Haven LLC was last updated on January 28, 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.