Mom'S Haven Senior Care, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

336425569 Issued in CA

Legal business name

MOM'S HAVEN SENIOR CARE, LLC

Practice address

30758 Bloomsbury Lane
Cathedral City, CA 92244

Phone

(760) 699-5398

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Analisa Ambat Cayabyab

Title

Licensee

Phone

(760) 218-8906

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1104216779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30758 BLOOMSBURY LANE",
            "city": "CATHEDRAL",
            "state": "CA",
            "postal_code": "92244",
            "telephone_number": "760-699-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30758 BLOOMSBURY LANE",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "92244",
            "telephone_number": "760-699-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOM'S HAVEN SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "CAYABYAB",
        "authorized_official_first_name": "ANALISA",
        "authorized_official_middle_name": "AMBAT",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "760-218-8906"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "336425569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manal Rita Michael, MD
• Steven R Michel, LCSW
• Benjamin Rush Milam, MD
• Claudia Lizeth Miranda, PPS
• Natasha Mirau
• Celine Montgomery
• Amy Josceline Montoya
• Belen Montoya
• Erica Michelle Moreno
• Khalid Muhyieddeen

• Nursing Care Agency in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.