1639832710 NPI number — HAVEN ENTERPRISE

Table of content: (NPI 1639832710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639832710 NPI number — HAVEN ENTERPRISE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAVEN ENTERPRISE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639832710
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/16/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2886 SPANISH BAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRENTWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94513-4634
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-465-3594
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3600 CLAYTON RD STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94521-2572
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-349-9513
Provider Business Practice Location Address Fax Number:
925-349-9371
Provider Enumeration Date:
10/15/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DULDULAO
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
ROSALES
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
909-465-3594

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)