MEDICARE: HAVEN POST ACUTE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1629653720
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN POST ACUTE LLC

Provider Business Mailing Address
First Line	:	1311 E DATE ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-4233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 E DATE ST
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92404-4233
Country	:	US
Telephone Number	:	909-882-3316
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	RICHARD MARTIN
Credential	:
Telephone Number	:	909-882-3316

Provider Enumeration Date	:	03/10/2021
Last Update Date	:	05/18/2022

Similar Medicare Providers

1477547750 — MOUNTAINSIDE OPERATING COMPANY, LLC
Practice Location Address:

1311 E DATE ST
SAN BERNARDINO, CA
92404-4233

Practice Phone: 909-882-3316
Practice Fax: 909-882-5126

1427457233 — HACIENDA HEIGHTS HEALTHCARE & WELLNESS CENTRE, LP
Practice Location Address:

1311 E DATE ST
SAN BERNARDINO, CA
92404-4233

Practice Phone: 909-882-3316
Practice Fax: 909-882-5126

1568970770 — BRIANICA MONYA ROBINSON
Practice Location Address:

1950 S SUNWEST LN STE 200
SAN BERNARDINO, CA
92418-4233

Practice Phone: 909-252-4026
Practice Fax:

1134113509 — DR. RAYMOND CHINN M.D.
Practice Location Address:

3131 BERGER AVE , SUITE 200
SAN DIEGO, CA
92123-4233

Practice Phone: 619-846-5890
Practice Fax: 858-939-3968

1881685006 — DAVID M MARSH M.D.
Practice Location Address:

3131 BERGER AVE
SAN DIEGO, CA
92123-4233

Practice Phone: 858-244-6800
Practice Fax: 858-244-6909

1194706242 — BRIAN E JASKI M.D.
Practice Location Address:

3131 BERGER AVE
SAN DIEGO, CA
92123-4233

Practice Phone: 858-244-6800
Practice Fax: 858-244-6909

Directions to “HAVEN POST ACUTE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.