Organization Active NPI

Humble Haven Rcfe IV

  • Assisted Living Facility
  • Palmdale, CA
National Provider Identifier
1558284083
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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 IIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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)CodeLicenseStatePrimary
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 II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.