Provider Demographics
NPI:1033622865
Name:CARE HAVEN COMPANIONS, INC
Entity Type:Organization
Organization Name:CARE HAVEN COMPANIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAZILE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:407-860-6268
Mailing Address - Street 1:1848 1ST ST N
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-2126
Mailing Address - Country:US
Mailing Address - Phone:407-860-6268
Mailing Address - Fax:
Practice Address - Street 1:1848 1ST ST N
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-2126
Practice Address - Country:US
Practice Address - Phone:407-860-6268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-15
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care