Hayven Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HAYVEN HOME, INC.

Practice address

16243 Chase St
North Hills, CA 91343-6203

Phone

(818) 812-5688

Fax

(818) 208-4270

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Gregory Mikitarian, RN

Title

Cfo

Phone

(818) 812-5688

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1679152649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16243 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16243 CHASE ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913436203",
            "telephone_number": "818-812-5688",
            "fax_number": "818-208-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYVEN HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MIKITARIAN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "818-812-5688",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.