Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heidis Haven LLC

Organization Assisted Living Facility · NPI 1073759890

Heidis Haven LLC is an Assisted Living Facility in Lady Lake, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

39106 Grays Airport Rd
Lady Lake, FL 32159-4004
Phone: (352) 787-3034
Fax: (352) 787-5979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL10397 (FL)

Record details

NPI number1073759890
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Johnson — Owner/ Administrator · (828) 389-4915
Other names Heidis Haven - Lady Lake
NPI enumeratedDecember 29, 2008
Last updated in NPPESSeptember 14, 2016
Mailing address51 Barlow Fields Dr, Hayesville, NC 28904-9485

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