Organization Active NPI

Hayven Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lancaster, CA
National Provider Identifier
1104407303
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HAYVEN HOSPICE, INC.
Practice address
1216 W Avenue J Ste 203
Lancaster, CA 93534-2944
Phone
(747) 313-7115
Fax
(747) 277-1486
NPI assigned
Apr 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Mr. Allan Chung
Title
Ceo
Phone
(747) 313-7115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1216 W Avenue J Ste 203
Lancaster, CA 93534-2944

Mailing address

1216 W Avenue J Ste 200
Lancaster, CA 93534-2944
Phone (747) 313-7115

National Provider Directory

National Provider Directory

Locations

146 N San Fernando Blvd
Ste 207
Burbank, CA 91502

1216 W Avenue J
Ste 203
Lancaster, CA 93534
Phone (747) 313-7115

1216 W Avenue J
Ste 200
Lancaster, CA 93534
Phone (747) 277-1449

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1104407303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 W AVENUE J STE 200",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342944",
            "telephone_number": "747-313-7115",
            "fax_number": "747-277-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 W AVENUE J STE 203",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342944",
            "telephone_number": "747-313-7115",
            "fax_number": "747-277-1486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYVEN HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-313-7115",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.