Sacred Haven Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SACRED HAVEN HOSPICE INC

Practice address

400 N Mountain Ave Ste 231
Upland, CA 91786-5191

Phone

(909) 297-1489

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By 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 Merick Anne Dichoso, REGISTERED NURSE

Title

Owner/Cfo

Phone

(909) 297-1489

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1275204133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 231",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865191",
            "telephone_number": "909-297-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N MOUNTAIN AVE STE 231",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865191",
            "telephone_number": "909-297-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HAVEN HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "DICHOSO",
        "authorized_official_first_name": "KATHLEEN MERICK ANNE",
        "authorized_official_title_or_position": "OWNER/CFO",
        "authorized_official_telephone_number": "909-297-1489",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette M. Sabater, LCSW
• Ysabel Sabeniano
• Sach Physician Billing Trust
• Michael Sacoto
• Alyssa Sacramento
• Ebrahim Sadeghi Najafabadi, M.D.
• Samantha Albasha Safar
• Mike Sedat Safi
• Sage Holistic Healing Inc
• Thomas Sago

• Community Based Hospice Care Agency in Upland, CA
• Providers in Upland, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.