# HAVEN TRANSITIONAL LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285514745
- **Authorized official:** JEANITA MARSEILLE (EXECUTIVE DIRECTO)
- **Authorized official phone:** (772) 874-9288

## Contact information

- **Practice address:** 1073 SW BIANCA AVE, PORT ST LUCIE, FL 34953-3206
- **Practice address phone:** (772) 874-9288
- **Mailing address:** 4380 SW CALAH CIR, PORT ST LUCIE, FL 34953-7524
- **Mailing address phone:** (772) 874-9288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 332U00000X | Home Delivered Meals | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | — |

## Other

- **Enumeration date:** 09/05/2025
- **Last updated:** 02/23/2026