Safe Haven Residential Facilities

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SAFE HAVEN RESIDENTIAL FACILITIES

Practice address

8325 Haven Ave Ste 203
Rancho Cucamonga, CA 91730-3894

Phone

(909) 466-9973

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Lisa Stovall

Title

Ceo

Phone

(909) 466-9973

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1780379750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 HAVEN AVE STE 203",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303894",
            "telephone_number": "909-466-9973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 HAVEN AVE STE 203",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303894",
            "telephone_number": "909-466-9973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN RESIDENTIAL FACILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "STOVALL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-466-9973"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sacred Passion Hospice Care, Inc.
• Amber Nicole Sadiq
• Waheed Ahmad Saeed, MD
• Safe Hand
• Safe Haven Residence LLC
• Isaiah Saffo
• Arabel Sagastume
• Sage Healthcare Services Inc
• Amy Sager
• Sahawneh Dental Corporation

• Assisted Living Facility in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, 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 Apr 6, 2023; 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.