Organization
HEIDIS HAVEN LLC
Active
Other names
Heidis Haven - Lady Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD WILLIAM JOHNSON (OWNER/ ADMINISTRATOR)
(828) 389-4915
Entity
Organization
Contact information
Practice address
39106 GRAYS AIRPORT RD, LADY LAKE, FL 32159-4004
(352) 787-3034
(352) 787-5979
Mailing address
51 BARLOW FIELDS DR, HAYESVILLE, NC 28904-9485
(828) 389-4915
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL10397
FL
Other
Enumeration date
12/29/2008
Last updated
09/14/2016
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up