Rural Haven

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

050000507 Issued in CA

Legal business name

RURAL HAVEN

Practice address

431 Saratoga St
Fillmore, CA 93015-1531

Phone

(805) 524-4003

Fax

(805) 525-4003

NPI assigned

Jan 28, 2006

Last updated

Aug 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Elbanowski

Title

Ceo/Cfo

Phone

(805) 525-0305

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rural Haven2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Winter Haven

  • Intellectual Disabilities Intermediate Care Facility
  • Fillmore, CA
  • NPI 1154392181
  NPD tax ID

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

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1245201284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E SANTA PAULA ST",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930602063",
            "telephone_number": "805-525-0305",
            "fax_number": "805-525-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SARATOGA ST",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151531",
            "telephone_number": "805-524-4003",
            "fax_number": "805-525-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "ELBANOWSKI",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "805-525-0305"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "CA",
            "license": "050000507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LTC60872F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorianny Isafet Ramirez Ortiz
• Razi Apothecary, Inc.
• Maria Rico
• Efrain Robles
• Esperanza Janette Romero
• Alexis Sanchez
• Guillermo Sanchez, D.D.S.
• Maria Fernanda Sanchez
• Sendi Maria Sanchez, PA
• Christina Alexandria Sandoval, PPS

• Intellectual Disabilities Intermediate Care Facility in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.