Provider Demographics
NPI:1811798374
Name:HAVEN ADULT DAY CARE 2 LLC
Entity type:Organization
Organization Name:HAVEN ADULT DAY CARE 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:N
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-395-3023
Mailing Address - Street 1:14505 COMMERCE WAY STE 300
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1524
Mailing Address - Country:US
Mailing Address - Phone:786-558-4679
Mailing Address - Fax:786-558-4696
Practice Address - Street 1:14505 COMMERCE WAY STE 300
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1524
Practice Address - Country:US
Practice Address - Phone:786-558-4679
Practice Address - Fax:786-558-4696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care