Haven Hospice – Community Based Hospice Care Agency, NPI 1154162857

Haven Hospice is a healthcare provider. based in Gainesville, Florida. specializing in Community Based Hospice Care Agency. The NPI Number for Haven Hospice is 1154162857

Main info

Organization
Name
Haven Hospice
NPI
1154162857
Phone
(352) 378-2121
Address
4200 NW 90TH BLVD
Authorized Official
JAY KOEPER SECRETARY
Enumeration Date
5 June 2024
Last Update Date
11 September 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Haven Hospice

  • 4200 NW 90TH BLVD

    GAINESVILLE, FL 326063809

    Phone: (352) 378-2121

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20250401003670OHospiceFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32606)

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Reviews

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Frequently asked questions

What identifier follows Haven Hospice across health systems?
The NPI 1154162857 uniquely identifies Haven Hospice in U.S. healthcare data.
Should I treat Haven Hospice as an active provider?
Patients and plans typically see Haven Hospice as active in the national extract.
How should patients interpret Haven Hospice's specialty?
The extract shows Community Based Hospice Care Agency for Haven Hospice. Clinical services aligned with this taxonomy classification.
Is Haven Hospice tied to Gainesville, Florida?
If you are local to Gainesville, Florida, Haven Hospice may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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