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 1750719340

Heidis Haven LLC is an Assisted Living Facility in Fruitland Park, 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.

See every abbreviation used in this directory →

Practice location Address checks out

36321 Grays Airport Rd
Fruitland Park, FL 34731-5418
Phone: (352) 787-3034
Fax: (352) 787-3034
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 AL11978 (FL)

Record details

NPI number1750719340
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Johnson — Owner/ Administrator · (352) 787-3034
Other names Heidis Haven-Fruitland Park
NPI enumeratedOctober 17, 2013
Last updated in NPPESOctober 17, 2013
Mailing address1215 La Salida Way, Leesburg, FL 34748-8272

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