Al Hayba Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AL HAYBA HOME LLC

Practice address

13849 Cobblestone CT
Fontana, CA 92335-0504

Phone

(786) 564-3771

NPI assigned

Jun 8, 2022

Last updated

May 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebraheem H HamedNPI 1699302240

Title

Owner

Phone

(786) 564-3771

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ebraheem H Hamed

  • Assisted Living Facility
  • Fontana, CA
  • NPI 1699302240
  NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1649909292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13849 COBBLESTONE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13849 COBBLESTONE CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923350504",
            "telephone_number": "786-564-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL HAYBA HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "EBRAHEEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-564-3771"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedra P. Akins
• Aklan Meadows, Inc (AMI-Holly House)
• Aklan Meadows, Inc. (AMI Parkview House)
• Sherese M Akrotirianakis, PA
• Erik Ichiro Akune
• Raghad Al-Aubid
• Fady Talal Al-Helo, DPT
• Sarab N. Al-Nakeeb, MD
• Ethar Riyadh Al-Wazeer, DDS
• Erica Alade, LMFT

• Assisted Living Facility in Fontana, CA
• Providers in Fontana, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.