NPI Code Detail JSON Logo

1033004775 NPI number — HAVEN CARE SOLUTIONS

NPI Number: 1033004775
Health Care Provider/Practitioner: HAVEN CARE SOLUTIONS

Information about “1033004775” NPI (HAVEN CARE SOLUTIONS) exists in 1033004775 in HTML format HTML  |  1033004775 in plain Text format TXT  |  1033004775 in PDF (Portable Document Format) PDF  |  1033004775 in an XML format XML  formats.

NPI Number : 1033004775 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033004775",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "HAVEN CARE SOLUTIONS",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11474 MILLPOND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FONTANA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92337-0831",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-960-9003",
    "MailingAddressFaxNumber": "951-346-3205",
    "FirstLinePracticeLocationAddress": "10518 MAGNOLIA AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RIVERSIDE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92505-1814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-960-9003",
    "PracticeLocationAddressFaxNumber": "951-346-3205",
    "EnumerationDate": "06/12/2025",
    "LastUpdateDate": "10/13/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ZAGUIRRE",
    "AuthorizedOfficialFirstName": "MICHELLE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER - CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "909-960-9003",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251X00000X",
          "TaxonomyName": "Supports Brokerage Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "177F00000X",
          "TaxonomyName": "Lodging Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0800X",
          "TaxonomyName": "Recovery Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174200000X",
          "TaxonomyName": "Meals Provider",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251K00000X",
          "TaxonomyName": "Public Health or Welfare Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "385H00000X",
          "TaxonomyName": "Respite Care",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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