Organization Active NPI

Bel Haven Care LLC

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1285956268
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
107203325 Issued in CA
Legal business name
BEL HAVEN CARE LLC
Practice address
2020 N Weber Ave
Fresno, CA 93705-4313
Phone
(559) 486-5977
Fax
(559) 486-5909
NPI assigned
Feb 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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

Authorized official

Name
Mr. Russell N Milnes
Title
Administrator
Phone
(559) 486-5977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 107203325 CA Primary

Addresses

Primary practice location

2020 N Weber Ave
Fresno, CA 93705-4313

Mailing address

2020 N Weber Ave
Fresno, CA 93705-4313
Phone (559) 486-5977

Other identifiers 1

IdentifierTypeStateIssuer
107203325OtherCACOMMUNITY CARE LICENSING

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1285956268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WEBER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054313",
            "telephone_number": "559-486-5977",
            "fax_number": "559-486-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WEBER AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937054313",
            "telephone_number": "559-486-5977",
            "fax_number": "559-486-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL HAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MILNES",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "559-486-5977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "107203325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY CARE LICENSING",
            "identifier": "107203325",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; 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.