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General NPI Number Information
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NPI Number | 1700762564
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Entity Type | Organization
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Legal Business Name | HAVEN CARE SOLUTIONS INLAND EMPIRE
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 10518 MAGNOLIA AVE
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City | RIVERSIDE
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State | CA
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Zip | 92505-1814
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Country | US
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Telephone | 909-960-9003
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Fax | 951-346-3205
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Provider Business Mailing Address
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Address Line | 4193 FLAT ROCK DR # 200603
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City | RIVERSIDE
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State | CA
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Zip | 92505-7111
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Country | US
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Telephone | 909-960-9003
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MS. MICHELLE ZAGUIRRE
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Credential |
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Telephone | 909-960-9003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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