Organization Active NPI

Wholesome Haven, LLC

  • Assisted Living Facility
  • Spring Valley, CA
National Provider Identifier
1417867011
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WHOLESOME HAVEN, LLC
Practice address
10034 View Crest CT
Spring Valley, CA 91977-3125
Phone
(818) 749-6701
NPI assigned
Sep 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Gabriel Sanchez, MDIV
Title
Owner and Administrator
Phone
(818) 749-6701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

10034 View Crest CT
Spring Valley, CA 91977-3125

Mailing address

5568 Laramie Way
San Diego, CA 92120-1448
Phone (818) 749-6701

NPI Registry JSON

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1417867011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5568 LARAMIE WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201448",
            "telephone_number": "818-749-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10034 VIEW CREST CT",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919773125",
            "telephone_number": "818-749-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLESOME HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER AND ADMINISTRATOR",
        "authorized_official_telephone_number": "818-749-6701",
        "authorized_official_credential": "MDIV"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.