Provider Demographics
NPI:1710796867
Name:CHAUVIN HAVEN OF HOPE, LLC
Entity type:Organization
Organization Name:CHAUVIN HAVEN OF HOPE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:CHAUVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-593-1911
Mailing Address - Street 1:10879 HIDDEN WILLOW AVE APT 222
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-5847
Mailing Address - Country:US
Mailing Address - Phone:813-816-8161
Mailing Address - Fax:
Practice Address - Street 1:10879 HIDDEN WILLOW AVE APT 222
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-5847
Practice Address - Country:US
Practice Address - Phone:813-816-8161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities