Organization Active NPI

Shepherds Haven Care Home LLC

  • Assisted Living Facility (Mental Illness)
  • Concord, CA
National Provider Identifier
1205798675
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
SHEPHERDS HAVEN CARE HOME LLC
Doing business as
Harmony House Care Home
Practice address
5199 Olive Dr
Concord, CA 94521-3175
Phone
(925) 208-9250
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Bamikole Ajibola OgundeleNPI 1033755996
Title
Administrator
Phone
(651) 214-3455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

5199 Olive Dr
Concord, CA 94521-3175

Mailing address

5199 Olive Dr
Concord, CA 94521-3175
Phone (925) 208-9250

Other names 1

  • Harmony House Care Home Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1205798675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5199 OLIVE DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213175",
            "telephone_number": "925-208-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5199 OLIVE DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213175",
            "telephone_number": "925-208-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERDS HAVEN CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "OGUNDELE",
        "authorized_official_first_name": "BAMIKOLE",
        "authorized_official_middle_name": "AJIBOLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-214-3455",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony House Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.