Annas Park Haven LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANNAS PARK HAVEN LLC

Doing business as

Anna's Park Haven
Anna's Park Haven, LLC

Practice address

3911 Park Ave
Hemet, CA 92544-3276

Phone

(951) 658-6223

Fax

(951) 658-6223

NPI assigned

Feb 5, 2024

Last updated

Feb 5, 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

Anna R Estaniel, RCFE

Title

Administrator

Phone

(951) 658-6223

Specialties & licenses 1

Addresses

Other names 2

• Anna's Park Haven Doing business as
• Anna's Park Haven, LLC Doing business as

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1760245377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 PARK AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925443276",
            "telephone_number": "951-658-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 PARK AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925443276",
            "telephone_number": "951-658-6223",
            "fax_number": "951-658-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNAS PARK HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "ESTANIEL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-658-6223",
        "authorized_official_credential": "RCFE"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna's Park Haven",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anna's Park Haven, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexy Anguiano
• Edwin Angulo Torres, OTA/L
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• Assisted Living Facility in Hemet, CA
• Providers in Hemet, 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 Feb 5, 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.