NPIMap

Organization Active NPI

Humble Haven Rcfe II

  • Assisted Living Facility
  • Palmdale, CA
National Provider Identifier
1033880828
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HUMBLE HAVEN RCFE II
Practice address
37801 Rudall Ave
Palmdale, CA 93550-5555
Phone
(661) 526-3200
NPI assigned
Sep 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Authorized official

Name
Nicole De Las Alas
Title
Owner
Phone
(707) 688-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

37801 Rudall Ave
Palmdale, CA 93550-5555

Mailing address

37801 Rudall Ave
Palmdale, CA 93550-5555
Phone (661) 526-3200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Nicole@humblehavenrcfe.com

National Provider Directory

National Provider Directory
Tax ID family
Humble Haven Rcfe II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632787200000",
    "number": "1033880828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37801 RUDALL AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935505555",
            "telephone_number": "661-526-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37801 RUDALL AVE",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935505555",
            "telephone_number": "661-526-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE HAVEN RCFE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A",
        "authorized_official_last_name": "DE LAS ALAS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-688-5606"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Nicole@humblehavenrcfe.com",
            "affiliation": "N",
            "address_1": "37801 Rudall Ave",
            "city": "Palmdale",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935505555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.