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SPRING HAVEN RETIREMENT COMMUNITY
NPI 1992149397
Assisted Living Facility in Winter Haven, FL

Active since April 29, 2013
1225 NW HAVENDALE BOULEVARD, WINTER HAVEN, FL 33881(863) 293-0072(863) 294-4935 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Spring Haven Retirement Community NPPES

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

SPRING HAVEN RETIREMENT COMMUNITY (NPI 1992149397) is a healthcare organization registered as an assisted living facility in Winter Haven, Florida and active in the NPI registry since April 2013. The organization lists Jane Ryu, President/ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1992149397
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNIC 5 SPRING HAVEN LEASING LLC
Location Address1225 NW HAVENDALE BOULEVARDWinter Haven, FL 33881
Mailing AddressPo Box 1700, Nic 5 Spring Haven Leasing Llc, C/o Holiday RetirementLake Oswego, OR 97035 · (971) 245-8020 · Fax (503) 431-2295
Phone(863) 293-0072
Fax(863) 294-4935
Organization SubpartNo
Authorized OfficialJane RyuPresident/ceo/cfo · (212) 479-5270
Enumeration DateApril 29, 2013
Last NPPES UpdateDecember 1, 2016
✔ NPI 1992149397 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 · 5504
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.
1225 NW HAVENDALE BOULEVARD, Winter Haven, FL 33881
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Other Names 1

Doing Business AsSpring Haven Retirement Community

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 Nic 5 Spring Haven Leasing LLC's NPI number?

The NPI number for Nic 5 Spring Haven Leasing LLC is 1992149397. It was assigned to this organization in the NPPES registry on April 29, 2013. The provider is doing business as Spring Haven Retirement Community.

Where is Nic 5 Spring Haven Leasing LLC located?

Nic 5 Spring Haven Leasing LLC is located at 1225 NW Havendale Boulevard, Winter Haven, FL 33881. The listed phone number is (863) 293-0072.

What is Nic 5 Spring Haven Leasing 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 Nic 5 Spring Haven Leasing LLC was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.