Provider Demographics
NPI:1760356182
Name:COMMUNITY HAVEN FOR ADULTS AND CHILDREN WITH DISABILITIES, INC.
Entity type:Organization
Organization Name:COMMUNITY HAVEN FOR ADULTS AND CHILDREN WITH DISABILITIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:941-355-8808
Mailing Address - Street 1:4405 DESOTO RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34235-3620
Mailing Address - Country:US
Mailing Address - Phone:941-355-8808
Mailing Address - Fax:
Practice Address - Street 1:4405 DESOTO RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235-3620
Practice Address - Country:US
Practice Address - Phone:941-355-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-30
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities