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Henderson Haven Inc
Point of Service in Orange Park, Florida
NPI 1427013655

Henderson Haven Inc is a Point of Service based in Orange Park, FL. Henderson Haven Inc practices in Orange Park, FL. The NPI Number for Henderson Haven Inc is 1427013655 and holds a License No. F001 (Florida).

The current practice location address for Henderson Haven Inc is 2554 Moody Ave, Orange Park, FL and can be reached out via phone at 904-264-2522 and via fax at 904-215-7338.

Location: 2554 Moody Ave, Orange Park, FL, 32073-5937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427013655
Provider Name
Henderson Haven Inc
Credential
Provider Entity Type
Organization
Address
2554 Moody Ave, Orange Park, FL, 32073-5937
Phone Number
904-264-2522
Fax Number
904-215-7338
Provider Enumeration Date
04/19/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
683650096 05 FL
683650098 05 FL
institution
Provider Business Practice Location Address Details
Address
2554 Moody Ave
City
Orange Park
State
Florida
Zip
32073-5937
Phone Number
904-264-2522
Fax Number
904-215-7338
person
Provider Business Mailing Address Details
Address
2554 Moody Ave
City
Orange Park
State
Florida
Zip
32073-5937
Phone Number
904-264-2522
Fax Number
904-215-7338
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
F001 (Florida)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
CH17033 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
F001 (Florida)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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