Organization Active NPI

Harvest Safe Haven for Boys

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Riverside, CA
National Provider Identifier
1649108903
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
HARVEST SAFE HAVEN FOR BOYS
Practice address
8905 Driftwood Dr
Riverside, CA 92503-2120
Phone
(951) 715-3126
NPI assigned
May 8, 2026
Organization subpart
Yes
Parent organization
HARVEST SAFE HAVEN FOR BOYSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Authorized official

Name
Daniel Park
Title
Ceo
Phone
(951) 715-3126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary

Addresses

Primary practice location

8905 Driftwood Dr
Riverside, CA 92503-2120

Mailing address

3380 La Sierra Ave Ste 104-242
Riverside, CA 92503-5271
Phone (951) 715-3126

National Provider Directory

National Provider Directory
Tax ID family
Harvest Safe Haven for Boys2 organizations share this tax ID, including this one
Part of
Harvest Safe Haven for Boys

Other organizations with this tax ID 1

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

Locations

3380 La Sierra Ave
Ste 104242
Riverside, CA 92503

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": "1778198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778198400000",
    "number": "1649108903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 LA SIERRA AVE STE 104-242",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925035271",
            "telephone_number": "951-715-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 DRIFTWOOD DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925032120",
            "telephone_number": "951-715-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST SAFE HAVEN FOR BOYS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARVEST SAFE HAVEN FOR BOYS",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-715-3126"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.