Raven'S Haven LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RAVEN'S HAVEN LLC

Practice address

746 Princessa Dr
Oxnard, CA 93030-7690

Phone

(805) 338-3276

NPI assigned

Feb 14, 2012

Organization subpart

No

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

Authorized official

Name

Arberdella Dudley, BA

Title

Administrator

Phone

(805) 338-3276

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1053684514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 PRINCESSA DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307690",
            "telephone_number": "805-338-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 PRINCESSA DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930307690",
            "telephone_number": "805-338-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN'S HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "ARBERDELLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "805-338-3276",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nasrollah Rashidi, MD
• Erin Jennifer Rasmussen, R.D.
• Socorro Rasmussen
• Samuel Robert Rassool, AMFT
• Cecilia Ravelo
• Ray Kazemi DDS,Inc.
• Stephanie D Raya-Lang
• Carissa Raya
• Francisco J Rayas Jr., D.D.S.
• Raymond F Lopez Jr MD a Professional Corporation

• Mental Illness Community Based Residential Treatment Facility in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.