OrganizationActive
Heidis Haven LLC
NPI 1609204833 · Assisted Living Facility · Leesburg, FL
Heidis Haven LLC is a Assisted Living Facility organization in Leesburg, FL (NPI 1609204833).
Provider details
- NPI number
- 1609204833
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Donald Johnson, Owner/President(352) 787-3034
- License
- AL11255 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
1205 Bonaire Dr
Leesburg, FL 34748-5707
Phone: (352) 787-3034
Fax: (352) 787-5979
Street-level locationGet directions
Mailing address
1215 La Salida Way
Leesburg, FL 34748-8272
Other names (DBA / former)
- Doing business as
- Heidis Haven-Bonaire
Registry dates
- Enumerated
- 2013-10-25
- Last updated
- 2013-10-25
Frequently asked questions
- What is Heidis Haven LLC's NPI number?
- Heidis Haven LLC's National Provider Identifier (NPI) is 1609204833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heidis Haven LLC?
- Heidis Haven LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Heidis Haven LLC located?
- Heidis Haven LLC's practice location on file with NPPES is 1205 Bonaire Dr, Leesburg, FL 34748-5707.
- What is Heidis Haven LLC's phone number?
- The practice phone number listed in the NPPES registry for Heidis Haven LLC is (352) 787-3034.
- Who is the authorized official for Heidis Haven LLC?
- The authorized official listed on Heidis Haven LLC's NPPES record is Donald Johnson, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heidis Haven LLC's NPI active?
- Yes — Heidis Haven LLC's NPI (1609204833) is active in the NPPES registry as of the last update on 2013-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.