PEACEFUL HAVEN RANCH GROUP HOME
NPI 1982881702
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Southwest Ranches, FL
- Organization
- Residential Treatment Facility, Intellec...
About PEACEFUL HAVEN RANCH GROUP HOME
This page provides the complete NPI Profile along with additional information for Peaceful Haven Ranch Group Home, a provider established in Southwest Ranches, Florida operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1982881702 assigned on January 2008. The practitioner's primary taxonomy code is 320600000X with license number 10-1606GH (FL). The provider is registered as an organization and their NPI record was last updated 19 years ago. The authorized official of this NPI record is Mr. Alberto E Fernandez (President)
- NPI
- 1982881702 Verify this NPI
- Provider Name
- PEACEFUL HAVEN RANCH GROUP HOME
- Entity Type
- Organization
- Location Address
- 12601 STIRLING RD SOUTHWEST RANCHES, FL 33330
- Location Phone
- (954) 689-0151
- Location Fax
- (954) 680-9474
- Mailing Address
- 12601 STIRLING RD SOUTHWEST RANCHES, FL 33330
- Mailing Phone
- (954) 689-0151
- Mailing Fax
- (954) 680-9474
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2008
- Last Update Date
- 01-23-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320600000X
- Type
- Residential Treatment Facilities
- License No.
- 10-1606GH
- License State
- FL
- Taxonomy Description
- A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 10-1607GH (FL) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982881702, enumerated as an "organization" on January 23, 2008.
The provider is located at 12601 STIRLING RD SOUTHWEST RANCHES, FL 33330 and the phone number is (954) 689-0151.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.
