Celebrity Haven Residentil Care Facility for the Elderly

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

280108992 Issued in CA

Legal business name

CELEBRITY HAVEN RESIDENTIL CARE FACILITY FOR THE ELDERLY

Practice address

5950 Haire LN
Napa, CA 94559-9711

Phone

(707) 257-6445

Fax

(707) 257-0520

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CELEBRITY HAVEN RESIDENTIAL CARE FACILITY FOR THE ELDERLYAs reported in NPPES

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

Authorized official

Name

Gemma D. Eugenio

Title

Licensee/Administrator

Phone

(707) 257-6445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1477728061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 HAIRE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945599711",
            "telephone_number": "707-257-6445",
            "fax_number": "707-257-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 HAIRE LN",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945599711",
            "telephone_number": "707-257-6445",
            "fax_number": "707-257-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRITY HAVEN RESIDENTIL CARE FACILITY FOR THE ELDERLY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CELEBRITY HAVEN RESIDENTIAL CARE FACILITY FOR THE ELDERLY",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "EUGENIO",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "707-257-6445"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "280108992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary E Celaya
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• Willhellmina S Celz0-Ortiz
• Joseph Michael Centeno, MD
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• Adult Care Home Facility in Napa, CA
• Providers in Napa, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.