Organization Active NPI

Haven Crest Congregate Living Inc

  • Skilled Nursing Facility
  • Fontana, CA
National Provider Identifier
1457232985
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HAVEN CREST CONGREGATE LIVING INC
Practice address
9150 Boxwood Ave
Fontana, CA 92335-5009
Phone
(909) 347-4777
NPI assigned
Sep 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gurpreet Kochhar
Title
Owner
Phone
(909) 347-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9150 Boxwood Ave
Fontana, CA 92335-5009

Mailing address

3543 E Delight Paseo
Ontario, CA 91761-4184
Phone (909) 347-4777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457232985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3543 E DELIGHT PASEO",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614184",
            "telephone_number": "909-347-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 BOXWOOD AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923355009",
            "telephone_number": "909-347-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CREST CONGREGATE LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KOCHHAR",
        "authorized_official_first_name": "GURPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-347-4777"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.