Healthcare Provider Details

I. General information

NPI: 1558284083
Provider Name (Legal Business Name): HUMBLE HAVEN RCFE IV
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4036 TOURNAMENT DR
PALMDALE CA
93551-5644
US

IV. Provider business mailing address

4036 TOURNAMENT DR
PALMDALE CA
93551-5644
US

V. Phone/Fax

Practice location:
  • Phone: 707-688-5606
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: NICOLE DE LAS ALAS
Title or Position: OWNER
Credential:
Phone: 707-688-5606