| Health Haven LLC | |
|
308 Nw 5th Ave Okeechobee FL 34972-2568 | |
| (863) 261-8354 | |
| (786) 221-4107 |
| Full Name | Health Haven LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 308 Nw 5th Ave, Okeechobee, Florida |
| Authorized Official Name and Position | Mohammad Asim Nisar (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5166406937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Haven LLC 308 Nw 5th Ave Okeechobee FL 34972-2568 Ph: (863) 261-8354 | Health Haven LLC 308 Nw 5th Ave Okeechobee FL 34972-2568 Ph: (863) 261-8354 |
| NPI Number | 1265824858 |
|---|---|
| Provider Enumeration Date | 02/19/2015 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Medicare PECOS PAC ID | 7911212634 |
|---|---|
| Medicare Enrollment ID | O20150810002451 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265824858 | NPI | - | NPPES |
| Provider Name | Princy B Bhardwaj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467607788 PECOS PAC ID: 6204991185 Enrollment ID: I20090209000532 |
| Provider Name | Pamela Coddington Black |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912135351 PECOS PAC ID: 8820136674 Enrollment ID: I20091116000204 |
| Provider Name | Colleen Callahan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689991234 PECOS PAC ID: 4183754005 Enrollment ID: I20100618000570 |
| Provider Name | Mouville E Caro-gracia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003932229 PECOS PAC ID: 5193884872 Enrollment ID: I20110615000471 |
| Provider Name | Mohammad Asim Nisar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437444791 PECOS PAC ID: 1759546062 Enrollment ID: I20120711000140 |
| Provider Name | Sara Mia Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518385749 PECOS PAC ID: 6507143351 Enrollment ID: I20170503001146 |
| Provider Name | Leidy Gomez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841859170 PECOS PAC ID: 6608102249 Enrollment ID: I20190719001936 |
| Provider Name | Dana Desantis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831740158 PECOS PAC ID: 2466885942 Enrollment ID: I20191216000236 |
| Provider Name | Daniela Riccelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730444092 PECOS PAC ID: 7618305236 Enrollment ID: I20200313001901 |
| Provider Name | Yamilet Oliver Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699256453 PECOS PAC ID: 4880008366 Enrollment ID: I20210125000105 |
| Provider Name | Jane Clarissa Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548784986 PECOS PAC ID: 2163836321 Enrollment ID: I20210128002892 |
| Provider Name | Norma L Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669087722 PECOS PAC ID: 7214345115 Enrollment ID: I20210414000381 |
| Provider Name | Sarah Merie Zizzo-hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588029821 PECOS PAC ID: 5193120590 Enrollment ID: I20210824000665 |
| Provider Name | Kelvin Dupera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285216234 PECOS PAC ID: 6800273335 Enrollment ID: I20220521000286 |
| Provider Name | Iven Dupera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891382974 PECOS PAC ID: 2668851619 Enrollment ID: I20220621003404 |
| Provider Name | Sunita Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205266442 PECOS PAC ID: 5991093668 Enrollment ID: I20221004003726 |
| Provider Name | Jennifer S Caschetta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225735947 PECOS PAC ID: 2163887290 Enrollment ID: I20230425001947 |
| Provider Name | Ali Rehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144906801 PECOS PAC ID: 6608225297 Enrollment ID: I20231207002577 |
| Provider Name | Enedys M Fernandez-ledon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518395508 PECOS PAC ID: 9335229855 Enrollment ID: I20231221001534 |
| Provider Name | Sharlene Gampel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407023641 PECOS PAC ID: 8729439138 Enrollment ID: I20240110003190 |
| Provider Name | Melana Rabinovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992568745 PECOS PAC ID: 2264977388 Enrollment ID: I20240712004070 |
| Provider Name | Jordan Lozada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871323261 PECOS PAC ID: 6709327208 Enrollment ID: I20240924004495 |
| Provider Name | Daniel a Pietras |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912346123 PECOS PAC ID: 1153548938 Enrollment ID: I20241210002140 |
| Provider Name | Miguel Alejandro Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467260620 PECOS PAC ID: 3375072309 Enrollment ID: I20250121002039 |
| Provider Name | Cali Foydl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972313518 PECOS PAC ID: 4385174556 Enrollment ID: I20250204001984 |
| Provider Name | Cesar Almanza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083337836 PECOS PAC ID: 0143740449 Enrollment ID: I20250217002439 |
| Provider Name | Moustapha Augustin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356861660 PECOS PAC ID: 7911427570 Enrollment ID: I20250226000878 |
| Provider Name | Keely Marie Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386438281 PECOS PAC ID: 0042735235 Enrollment ID: I20250421001616 |
| Provider Name | David Guzak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104610070 PECOS PAC ID: 9537685227 Enrollment ID: I20250424004000 |
| Provider Name | Franz R Hinojosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043521412 PECOS PAC ID: 3577750553 Enrollment ID: I20250916000060 |
| Provider Name | Maria Clara Restrepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598649873 PECOS PAC ID: 2062908031 Enrollment ID: I20251229002827 |
| Provider Name | Ashley Caitlin Fortney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144806407 PECOS PAC ID: 1254813678 Enrollment ID: I20260305000112 |
| Provider Name | Erick Clay Suarez Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730038530 PECOS PAC ID: 8921581604 Enrollment ID: I20260311001262 |
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