Healthcare Provider Details

I. General information

NPI: 1730056920
Provider Name (Legal Business Name): HAVEN CARE ECM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 OAK ST STE 200
BAKERSFIELD CA
93304-1731
US

IV. Provider business mailing address

4193 FLAT ROCK DR # 200603
RIVERSIDE CA
92505-7111
US

V. Phone/Fax

Practice location:
  • Phone: 909-960-9003
  • Fax:
Mailing address:
  • Phone: 909-960-9003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE ZAGUIRRE
Title or Position: CHIEF OF OPERATIONS
Credential:
Phone: 909-960-9003