# PALM HAVEN HOME CARE LLC

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

## Provider details

- **NPI number:** 1912823444
- **Authorized official:** MR. JASON JEAN (OWNER)
- **Authorized official phone:** (786) 512-0841

## Contact information

- **Practice address:** 383 NE 161ST ST, MIAMI, FL 33162-4344
- **Practice address phone:** (786) 512-0841
- **Mailing address:** 62 NE 167TH ST, MIAMI, FL 33162-3401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 06/29/2026
- **Last updated:** 10/04/2026