Provider Demographics
NPI:1174216519
Name:TRUST HAVEN NURSE REGISTRY LLC
Entity type:Organization
Organization Name:TRUST HAVEN NURSE REGISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-771-8940
Mailing Address - Street 1:5220 SANCERRE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7474
Mailing Address - Country:US
Mailing Address - Phone:786-771-8940
Mailing Address - Fax:
Practice Address - Street 1:5220 SANCERRE CIR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7474
Practice Address - Country:US
Practice Address - Phone:786-771-8940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health