Blue Haven Group Corp

LBN: Blue Haven Group Corp
Blue Haven Group Corp is an health care organization with primary practice located at 3241 Nw 108Th Dr , Coral Springs FL 33065-3528. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Blue Haven Group Corp can be contacted via phone (954) 540-6470, or through Ariza, Luis J. via phone (954) 540-6470.

Contact Information

Primary practice address
3241 Nw 108Th Dr Coral Springs FL 33065-3528
Phone: (954) 540-6470
Fax: (954) 796-7104
Website:
Map and Directions
Authorized official contact:
Name: Ariza, Luis J.
Phone: (954) 540-6470

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 10-2899GH Florida
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 10-2794GH Florida
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X 10-2941GH

Profile Details

NPI number 1447798806
LBN Legal business name Blue Haven Group Corp
DBA Doing business as
Authorized official Ariza, Luis J.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2017
Last updated Feb 6th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447798806 NPPES
Florida MEDICAID 682933396

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