Carehaven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CAREHAVEN LLC

Doing business as

CareHaven Valencia

Practice address

7545 Orange Dr
Citrus Heights, CA 95610-2105

Phone

(916) 770-6554

NPI assigned

Sep 25, 2021

Organization subpart

Yes

Parent organization

CAREHAVEN LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Kim

Title

Ceo/Administrator

Phone

(916) 770-6554

Specialties & licenses 1

Addresses

Other names 1

• CareHaven Valencia Doing business as

Part of

Carehaven LLC

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632528000000",
    "number": "1023789302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 ORANGE DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102105",
            "telephone_number": "916-770-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 ORANGE DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102105",
            "telephone_number": "916-770-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHAVEN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHAVEN LLC",
        "enumeration_date": "2021-09-25",
        "last_updated": "2021-09-25",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "916-770-6554"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CareHaven Valencia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penelope Campos
• Candlelight Home Care
• Cindy Canela Ruiz
• Natalia Capozziello
• Care Alot
• Raphael Lucien Carpenter
• Gregory Albert Carr, REGISTERED PHYSICAL
• Stephenie Carr
• Chloe Lauren Carrillo
• Alexis Carroll

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.