Active NPI
Humble Haven Rcfe IV
- Assisted Living Facility
- Palmdale, CA
National Provider Identifier
1558284083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HUMBLE HAVEN RCFE IV
- Practice address
- 4036 Tournament Dr
Palmdale, CA 93551-5644 - Phone
- (707) 688-5606
- NPI assigned
- Aug 1, 2026
- Organization subpart
- Yes
- Parent organization
- HUMBLE HAVEN RCFE II
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole De Las Alas
- Title
- Owner
- Phone
- (707) 688-5606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
4036 Tournament Dr
Palmdale, CA 93551-5644
Mailing address
4036 Tournament Dr
Palmdale, CA 93551-5644
National Provider Directory
National Provider Directory- Tax ID family
- Humble Haven Rcfe II
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Palmdale, CA
- NPI 1033880828
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Assisted Living Facility
- Palmdale, CA
- NPI 1033880828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785542400000",
"number": "1558284083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4036 TOURNAMENT DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 TOURNAMENT DR",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935515644",
"telephone_number": "707-688-5606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMBLE HAVEN RCFE IV",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HUMBLE HAVEN RCFE II",
"enumeration_date": "2026-08-01",
"last_updated": "2026-08-01",
"certification_date": "2026-08-01",
"status": "A",
"authorized_official_last_name": "DE LAS ALAS",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-688-5606"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.