NPIMap

Organization Active NPI

United Care Homes, Inc. del Haven Community Home

  • Intellectual Disabilities Intermediate Care Facility
  • Rowland Heights, CA
National Provider Identifier
1114108487
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
UNITED CARE HOMES, INC. DEL HAVEN COMMUNITY HOME
Practice address
18284 Barroso St
Rowland Heights, CA 91748-4403
Phone
(626) 964-5737
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Susana C Tubianosa
Title
President
Phone
(626) 810-5567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X CA Primary

Addresses

Primary practice location

18284 Barroso St
Rowland Heights, CA 91748-4403

Mailing address

1982 Camwood Ave
Rowland Heights, CA 91748-4044
Phone (626) 810-5567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G489

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
DELHAVEN COMMUNITY HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Mar 15, 2004
Last certification
Feb 27, 2025
Beds
6
Ownership / control type
Other (specify)
Facility address
18284 Barroso Street
Rowland Heights, CA 91748

National Provider Directory

National Provider Directory
Tax ID family
Pure Joy 18 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1114108487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1982 CAMWOOD AVE",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484044",
            "telephone_number": "626-810-5567",
            "fax_number": "626-810-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18284 BARROSO ST",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917484403",
            "telephone_number": "626-964-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE HOMES, INC. DEL HAVEN COMMUNITY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "TUBIANOSA",
        "authorized_official_first_name": "SUSANA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-5567"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.