Provider Demographics
NPI:1134764368
Name:AUM HAVEN LLC
Entity type:Organization
Organization Name:AUM HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATION MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANKITKUMAR
Authorized Official - Middle Name:H
Authorized Official - Last Name:PANDYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-807-4177
Mailing Address - Street 1:2763 CARMEL CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-3268
Mailing Address - Country:US
Mailing Address - Phone:407-978-6546
Mailing Address - Fax:407-978-6634
Practice Address - Street 1:2763 CARMEL CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-3268
Practice Address - Country:US
Practice Address - Phone:407-978-6546
Practice Address - Fax:407-978-6634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-12
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness