Haven Enterprise

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HAVEN ENTERPRISE

Doing business as

Haven Hospice

Practice address

3600 Clayton Rd Ste E
Concord, CA 94521-2572

Phone

(925) 349-9513

Fax

(925) 349-9371

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Rosales Duldulao, RNNPI 1619643681

Title

Ceo

Phone

(909) 465-3594

Specialties & licenses 1

Addresses

Other names 1

• Haven Hospice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christopher Duldulao, RN

  • Community Based Hospice Care Agency
  • Concord, CA
  • NPI 1619643681

  Hospice Care, Community Based

  NPD Authorized official

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634342400000",
    "number": "1639832710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2886 SPANISH BAY DR",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134634",
            "telephone_number": "909-465-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CLAYTON RD STE E",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945212572",
            "telephone_number": "925-349-9513",
            "fax_number": "925-349-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A",
        "authorized_official_last_name": "DULDULAO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ROSALES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-465-3594",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Hatfield
• Nissa Hatifie, PSYD
• Skyla Rose Hatton
• Peter Dominique Hauscarriague
• Marie Hausmann
• Caprice Haverty, PH.D.
• Nathan Hawke
• Alexis Hawkins
• Denitha Hawkins
• Dewayne Cleveland Hawkins

• Community Based Hospice Care Agency in Concord, CA
• Providers in Concord, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; 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.