NPIMap

Organization Active NPI

Ab Safe Haven Palliative & Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Signal Hill, CA
National Provider Identifier
1669764726
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AB SAFE HAVEN PALLIATIVE & HOSPICE CARE, INC.
Practice address
2855 Temple Ave Ste B
Signal Hill, CA 90755-2212
Phone
(562) 426-7500
Fax
(562) 424-9588
NPI assigned
May 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Amy Brodnax
Title
Coo
Phone
(562) 400-5513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2855 Temple Ave Ste B
Signal Hill, CA 90755-2212

Mailing address

2855 Temple Ave Ste B
Signal Hill, CA 90755-2212
Phone (562) 426-7500

Other identifiers 1

IdentifierTypeStateIssuer
551721OtherCAPTAN

Other names 2

  • Bella Vida Hospice Doing business as
  • Haven Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110603000215 CA Part A Provider - Hospice 8921285727 Practice locations: Signal Hill, CA
O20241106004280 CA Part B Supplier - Clinic/Group Practice 8921285727 Receives reassigned benefits from 6 practitioners
Practice locations: Signal Hill, CA

Hospice certification: CCN 551721

Legal name
AB SAFE HAVEN PALLIATIVE & HOSPICE CARE INC
Doing business as
HAVEN HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 4, 2013
Last certification
Nov 30, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2011 in CA
Enrollment address
2855 Temple Ave
Ste B
Signal Hill, CA 90755-2212

Care Compare: Hospice

Medicare Care Compare
Listed as
Haven HealthCCN 551721
Ownership
For-Profit
Certified
Jan 4, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

3171 Los Feliz Blvd
#316
Los Angeles, CA 90039
Phone (323) 665-7542

2895 Temple Ave
Signal Hill, CA 90755
Phone (562) 426-7500

2855 Temple Ave
Ste B
Signal Hill, CA 90755
Phone (562) 426-7500

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Philip Sorley Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Aug 15, 2019 29%
W-2 Managing EmployeeChief Executive Officer Aug 15, 2019
Amy Brodnax Individual 5% Or Greater Direct Ownership InterestChief Operations Officer Aug 15, 2019 20%
W-2 Managing EmployeeChief Operations Officer Mar 16, 2012
Maximo Diamond Individual Corporate Director May 1, 2023
Lynn Keitz Individual 5% Or Greater Direct Ownership InterestFamily Nurse Practitioner Aug 15, 2019 31%
Melody Keenan Individual 5% Or Greater Direct Ownership InterestChief Administrative Officer Aug 15, 2019 20%
W-2 Managing EmployeeChief Administrator Officer Jul 1, 2015
Eunice Chang Individual W-2 Managing EmployeeDirector of Patient Care Service Sep 2, 2014

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 7

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

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1669764726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE B",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500",
            "fax_number": "562-424-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 TEMPLE AVE STE B",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907552212",
            "telephone_number": "562-426-7500",
            "fax_number": "562-424-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AB SAFE HAVEN PALLIATIVE & HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-09",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "BRODNAX",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "562-400-5513"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "551721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vida Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Haven Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Signal Hill, CA

Sources for this page

Verify at the official NPI Registry.