# DREAM HAVEN GROUPHOME LLC

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

## Provider details

- **NPI number:** 1447126420
- **Authorized official:** ROCHNY JULES (OWNER)
- **Authorized official phone:** (954) 548-7602

## Contact information

- **Practice address:** 419 SE FALLON DR, PORT ST LUCIE, FL 34983-2634
- **Practice address phone:** (954) 548-7602
- **Mailing address:** 419 SE FALLON DR, PORT ST LUCIE, FL 34983-2634
- **Mailing address phone:** (954) 548-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/15/2025
- **Last updated:** 10/15/2025