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 1255769840

Heidis Haven LLC is an Assisted Living Facility in Leesburg, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
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

1215 La Salida Way
Leesburg, FL 34748-8272
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 AL11848 (FL)

Record details

NPI number1255769840
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Johnson — Owner/ Administrator · (352) 787-3034
Other names Heidis Haven-La Salida
NPI enumeratedOctober 17, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1215 La Salida Way, Leesburg, FL 34748-8272

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