HAVEN HOSPICE
NPI 1699742783
Hospice, Inpatient in Gainesville, FL
NPI Status: Active since March 07, 2006
Contact Information
4200 NW 90TH BLVD
GAINESVILLE, FL
ZIP 32606
Phone: (352) 378-2121
- Organization
- Hospice, Inpatient
- Accepts Insurance
- CLIA Number: 10D0988453
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 06-27-2025
About HAVEN HOSPICE
This page provides the complete NPI Profile along with additional information for Haven Hospice, a provider established in Gainesville, Florida operating as a Hospice, Inpatient. The healthcare provider is registered in the NPI registry with number 1699742783 assigned on March 2006. The practitioner's primary taxonomy code is 315D00000X with license number 5023096 (FL). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Haven Hospice. The authorized official of this NPI record is Pauline Taylor Rn (President)
- NPI
- 1699742783
- Provider Legal Name
- NORTH CENTRAL FLORIDA HOSPICE, INC.
- Other Organization Name
- HAVEN HOSPICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4200 NW 90TH BLVD GAINESVILLE, FL 32606
- Location Phone
- (352) 378-2121
- Mailing Address
- 4200 NW 90TH BLVD GAINESVILLE, FL 32606
- Mailing Phone
- (352) 378-2121
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-07-2006
- Last Update Date
- 05-19-2020
- Code Navigator
According to the Hospice Quality Reporting Program (HQRP) data this facility is non-profit and was certified on 11-07-1984 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospice, Inpatient
- Taxonomy Code
- 315D00000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- 5023096
- License State
- FL
- Taxonomy Description
- A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Clear VALUE Silver - HMO
- Complete VALUE Gold - HMO
- Focused VALUE Silver - HMO
- Focused VALUE Silver + Vision + Adult Dental - HMO
- Standard Gold VALUE - HMO
- Standard Silver VALUE - HMO
- Standard Silver VALUE + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete VALUE Gold - HMO
- Complete VALUE Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Elite VALUE Bronze - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- AvMed Entrust Bronze 600 (2025) - HMO
- AvMed Entrust Bronze 650 (2025) - HMO
- AvMed Entrust Expanded Bronze Standard (2025) - HMO
- AvMed Entrust Gold 125 (2025) - HMO
- AvMed Entrust Gold 125 Dental+Vision (2025) - HMO
- AvMed Entrust Gold Standard (2025) - HMO
- AvMed Entrust Platinum 25 (2025) - HMO
- AvMed Entrust Platinum 25 Dental+Vision (2025) - HMO
- AvMed Entrust Platinum Standard (2025) - HMO
- AvMed Entrust Silver 350 (2025) - HMO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 08087519800 | MEDICAID (05) | FL |
Hospice Care Information
The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.
| CMS Certification Number (CCN) | 101515 |
| Ownership Type | Non-Profit |
| Medicare Certification Date | 11-07-1984 |
| Quality Measure | Measure Score |
|---|---|
| Average Daily Census Number of patients cared for by a hospice on average each day | 508.0 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year 1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage | Yes |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year 1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage | Yes |
| Care Provided in Assisted Living Facility Percentage of days patients received care in an assisted living facility | 11 |
| Care Provided in Home Percentage of days patients received care in home | 59 |
| Care Provided in Inpatient Hospice Facility Percentage of days patients received care in an inpatient hospice | 5 |
| Care Provided in Inpatient Hospital Facility Percentage of days patients received care in an inpatient hospital | 1 |
| Care Provided in Nursing Facility Percentage of days patients received care in a nursing facility | 20 |
| Care Provided in All other locations Percentage of days patients received care in other locations | 4 |
| Care Provided in Skilled Nursing Facility Percentage of days patients received care in a skilled nursing facility | 0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years. |
| Hospice and Palliative Care Treatment Preferences Facility observed rate | 99.9 |
| Beliefs & Values Addressed (if desired by the patient) Facility observed rate | 99.9 |
| Hospice and Palliative Care Pain Screening Facility observed rate | 99.8 |
| Hospice and Palliative Care Pain Assessment Facility observed rate | 100.0 |
| Hospice and Palliative Care Dyspnea Screening Facility observed rate | 99.8 |
| Hospice and Palliative Care Dyspnea Treatment Facility observed rate | 99.9 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen Facility observed rate | 99.9 |
| Hospice and Palliative Care Composite Process Measure Facility observed rate | 99.8 |
| Hospice Visits in the Last Days of Life | 2,057 |
| Hospice Visits in the Last Days of Life Facility observed rate | 42.4 |
| Hospice Care Index Overall Score Facility observed rate | 10.0 |
| CHC/GIP provided (% days) | 422,129 |
| CHC/GIP provided (% days) Facility observed rate | 4.9 |
| CHC/GIP provided (% days) | 98 |
| Gaps in nursing visits (% elections) | 2,564 |
| Gaps in nursing visits (% elections) Facility observed rate | 77.1 |
| Gaps in nursing visits (% elections) | 82 |
| Early live discharges (% live discharges) | 666 |
| Early live discharges (% live discharges) Facility observed rate | 10.2 |
| Early live discharges (% live discharges) | 78 |
| Late live discharges (% live discharges) | 666 |
| Late live discharges (% live discharges) Facility observed rate | 31.1 |
| Late live discharges (% live discharges) | 27 |
| Burdensome transitions, Type 1(% live discharges) | 666 |
| Burdensome transitions, Type 1 (% live discharges) Facility observed rate | 3.2 |
| Burdensome transitions, Type 1 (% live discharges) | 30 |
| Burdensome transitions, Type 2(% live discharges) | 666 |
| Burdensome transitions, Type 2 (% live discharges) Facility observed rate | 1.1 |
| Burdensome transitions, Type 2 (% live discharges) | 50 |
| Per-beneficiary spending (U.S. dollars $) | 7,720 |
| Per-beneficiary spending (U.S. dollars $) Facility observed rate | 11,195 |
| Per-beneficiary spending (U.S. dollars $) | 19 |
| Nurse care minutes per routine home care days (minutes) | 396,893 |
| Nurse care minutes per routine home care days (minutes) Facility observed rate | 11.0 |
| Nurse care minutes per routine home care days (minutes) | 35 |
| Skilled nursing minutes on weekends (% minutes) | 4,354,200 |
| Skilled nursing minutes on weekends (% minutes) Facility observed rate | 11.4 |
| Skilled nursing minutes on weekends (% minutes) | 79 |
| Visits near death (% decedents) | 6,635 |
| Visits near death (% decedents) Facility observed rate | 94.3 |
| Visits near death (% decedents) | 58 |
| Percent of Patients with Cancer Percentage of patients at hospice who had Cancer as their primary diagnosis | 26 |
| Percent of Patients with Circulatory/heart disease Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis | 12 |
| Percent of Patients with Dementia Percentage of patients at hospice who had Dementia as their primary diagnosis | 17 |
| Percent of Patients with Other Conditions Percentage of patients at hospice who had some other conditions as their primary diagnosis | 6 |
| Percent of Patients with Respiratory disease Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis | 12 |
| Percent of Patients with Stroke Percentage of patients at hospice who had Stroke as their primary diagnosis | 10 |
| Provided Routine Home Care and other levels of care Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level | Yes |
| Provided Routine Home Care only The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level | No |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0988453
- Facility Type
- Hospice
- Certificate Effective Date
- June 28, 2023
- Certificate Expiration Date
- June 27, 2025
- Laboratory Director
- CHRISTOPHER RUSSELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Haven Hospice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 9 | 9 | 7 | 4 | 2 | 7 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 18 | 9 | 14 | 4 | 4 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 8 + 9 + 1 + 4 + 4 + 4 + 7 + 1 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1699742783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295703965 | KIMBERLEIGH W CAMPBELL M.D. Individual | Psychiatry & Neurology (Neurology) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1871562678 | MELINDA C BOUDAH ARNP Individual | Nurse Practitioner | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 692-5152 |
| 1598818700 | DR. REBECCA JAYNE BORGERT PHARM.D. Individual | Pharmacist (Oncology) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 379-6223 |
| 1740557875 | ROBIN BLUDWORTH ANP-BC Individual | Nurse Practitioner (Adult Health) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1104956044 | JONI K DONAHOO N.P. Individual | Nurse Practitioner (Adult Health) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1457703183 | TERESA MARIE MCLEAN ARNP-BC Individual | Nurse Practitioner (Adult Health) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1770095176 | AMANDA TRESPALACIOS ARNP Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1346702545 | SANDRA TUCKER APRN Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1235308941 | GERALDINE SUSAN SHAW BICHIER MD Individual | Internal Medicine | 4200 NW 90TH BLVD HAVEN HOSPICE GAINESVILLE, FL 32606 (352) 378-2121 |
| 1851825954 | KATIE LYN WRIGHT Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (325) 378-2121 |
| 1992328355 | HAVEN PALLIATIVE CARE LLC Organization | Internal Medicine (Hospice and Palliative Medicine) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1467868299 | MRS. ANGELA ANN RENAUD ARNP Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1255858015 | KINSLEY J GIEBEIG ARNP Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1447200837 | MRS. ELAINE D. DAVIS APRN Individual | Nurse Practitioner (Family) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1407143316 | HAVEN MEDICAL GROUP, LLC Organization | Internal Medicine (Hospice and Palliative Medicine) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1154162857 | ABODE HOSPICE OF FLORIDA, LLC Organization | Hospice Care, Community Based | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1558153619 | KATIE ABEL APRN Individual | Nurse Practitioner | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
| 1184697062 | DR. JENIFER EIMMERMAN D.O. Individual | Family Medicine (Hospice and Palliative Medicine) | 4200 NW 90TH BLVD GAINESVILLE, FL 32606 (352) 378-2121 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699742783, enumerated in the NPI registry as an "organization" on March 07, 2006
The provider is located at 4200 Nw 90th Blvd Gainesville, Fl 32606 and the phone number is (352) 378-2121
This medical organization specializes in Hospice, Inpatient with taxonomy code 315D00000X
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Superior. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D0988453 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on March 07, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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