OrganizationActive
God'S Vip Senior Haven, LLC
NPI 1417451600 · Assisted Living Facility · Davie, FL
God'S Vip Senior Haven, LLC is a Assisted Living Facility organization in Davie, FL (NPI 1417451600).
Provider details
- NPI number
- 1417451600
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Petras, Coo(260) 797-9482
- License
- 5448 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4681 Sw 66th Ave
Davie, FL 33314-4340
Phone: (954) 581-9111
Street-level locationGet directions
Mailing address
3630 Illinois Rd
Fort Wayne, IN 46804-2062
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2018-03-21
Frequently asked questions
- What is God'S Vip Senior Haven, LLC's NPI number?
- God'S Vip Senior Haven, LLC's National Provider Identifier (NPI) is 1417451600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is God'S Vip Senior Haven, LLC?
- God'S Vip Senior Haven, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is God'S Vip Senior Haven, LLC located?
- God'S Vip Senior Haven, LLC's practice location on file with NPPES is 4681 Sw 66th Ave, Davie, FL 33314-4340.
- What is God'S Vip Senior Haven, LLC's phone number?
- The practice phone number listed in the NPPES registry for God'S Vip Senior Haven, LLC is (954) 581-9111.
- Who is the authorized official for God'S Vip Senior Haven, LLC?
- The authorized official listed on God'S Vip Senior Haven, LLC's NPPES record is Robert Petras, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is God'S Vip Senior Haven, LLC's NPI active?
- Yes — God'S Vip Senior Haven, LLC's NPI (1417451600) is active in the NPPES registry as of the last update on 2018-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.