Royal Haven, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

ROYAL HAVEN, LLC

Practice address

9806 Gerald Ave
Northridge, CA 91343-1710

Phone

(818) 304-4582

Fax

(747) 529-4915

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Anne McNulty, RN, BSN

Title

Administrator

Phone

(818) 304-4582

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1104249408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9806 GERALD AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913431710",
            "telephone_number": "818-304-4582",
            "fax_number": "818-980-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 GERALD AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913431710",
            "telephone_number": "818-304-4582",
            "fax_number": "747-529-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "818-304-4582",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Ross
• Sara Anice Rotger, MFT
• Barry Rothman, M.D.
• Vanessa Rountree, LCSW
• Roya Maani, M.D., Inc.
• Royal Hospice Services Inc
• Royal Valley Hospice
• Orlando Allen Roybal, LCSW
• Patricia Rubalcaba
• Teri Rubanowitz, LMFT

• Nursing Facility/Intermediate Care Facility in Northridge, CA
• Providers in Northridge, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.