OrganizationActive
Care Haven LLC
NPI 1679226773 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Largo, FL
Provider details
- NPI number
- 1679226773
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Julia Dervisevic, Co-Owner(727) 637-8615
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1746 30th Ln Sw Fl 33774
Largo, FL 33774-1415
Phone: (727) 637-8615
Fax: (813) 925-6184
Approximate (ZIP-level) locationGet directions
Mailing address
762 Colony Ln
Largo, FL 33770-2963
Other names (DBA / former)
- Other name
- Care Haven
Additional practice locations (2)
- 702 10th St Nw Fl 33770Largo, FL 33770-2386Phone: (727) 687-4245Fax: (813) 925-6184
- 2290 8th Ave Sw # 2290Largo, FL 33770-2940Phone: (727) 637-8615Fax: (813) 925-6184
Registry dates
- Enumerated
- 2022-01-28
- Last updated
- 2022-01-28
- Certified
- 2022-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.