Organization Active NPI

Ampl Management, Inc

Doing business as Haven Health North

  • Community Based Hospice Care Agency
  • Signal Hill, CA
National Provider Identifier
1265701163
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AMPL MANAGEMENT, INC
Doing business as
Haven Health North
Practice address
2855 Temple Ave Ste H
Signal Hill, CA 90755-2212
Phone
(949) 870-4899
Fax
(949) 522-5640
NPI assigned
Dec 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Philip Sorley
Title
Ceo
Phone
(949) 870-4899

Specialties & licenses 1

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

Addresses

Primary practice location

2855 Temple Ave Ste H
Signal Hill, CA 90755-2212

Mailing address

2855 Temple Ave Ste H
Signal Hill, CA 90755-2212
Phone (949) 870-4899

Other names 1

  • Haven Health North Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000194 CA Part A Provider - Hospice 6002077443 Practice locations: Signal Hill, CA

Hospice certification: CCN 751542

Legal name
AMPL MANAGEMENT, INC.
Doing business as
HAVEN HEALTH NORTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 16, 2014
Last certification
Jul 12, 2017
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 19, 2011 in CA
Enrollment address
2855 Temple Ave
Ste H
Signal Hill, CA 90755-2212

Care Compare: Hospice

Medicare Care Compare
Listed as
Haven Health NorthCCN 751542 · All quality measures
Ownership
For-Profit
Certified
May 16, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2042056Ampl Management Inc2855 Temple Avenue, Suite H, Signal Hill, CA 90755Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

5900 S Eastern Ave
Ste 141
Commerce, CA 90040
Phone (949) 870-4899

18001 Sky Park Cir
Ste L
Irvine, CA 92614
Phone (949) 870-4899

18025 Sky Park Cir
Ste B
Irvine, CA 92614
Phone (949) 870-4899

2855 Temple Ave
Ste H
Signal Hill, CA 90755
Phone (949) 870-4899

2855 Temple Ave
Ste A
Signal Hill, CA 90755

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Philip Sorley Individual 5% Or Greater Direct Ownership Interest Dec 19, 2012 100%
Corporate DirectorCeo Dec 19, 2012 100%
Maximo Diamond Individual Corporate DirectorMedical Director Feb 1, 2024 100%
Melody Keenan Individual Corporate DirectorCao/Alternate Administrator Feb 1, 2024 100%
Operational/Managerial ControlAlternate Administrator/B. Mem. Jun 14, 2016 50%
Eunice Chang Individual Corporate DirectorDirector of Patient Care Service Dec 27, 2013 100%
W-2 Managing EmployeeDirector of Patient Care Service Dec 27, 2013 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1265701163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE H",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "949-870-4899",
            "fax_number": "949-522-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE H",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "949-870-4899",
            "fax_number": "949-522-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPL MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "SORLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-870-4899"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Health North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.