Organization Active NPI

Haven Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Simi Valley, CA
National Provider Identifier
1891225892
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HAVEN HOSPICE CARE, INC.
Practice address
4225 Valley Fair St Ste 107
Simi Valley, CA 93063-2954
Phone
(804) 404-9828
Fax
(818) 344-2171
NPI assigned
Jun 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Natalya Danelyan
Title
Ceo
Phone
(805) 842-2932

Specialties & licenses 1

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

Addresses

Primary practice location

4225 Valley Fair St Ste 107
Simi Valley, CA 93063-2954

Mailing address

4225 Valley Fair St Ste 107
Simi Valley, CA 93063-2954
Phone (805) 842-2932

Care Compare: Hospice

Medicare Care Compare
Listed as
Haven Hospice Care, IncCCN A01635
Ownership
For-Profit
Certified
Feb 11, 2019
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

4225 Valley Fair St
Ste 107
Simi Valley, CA 93063
Phone (804) 404-9828

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1891225892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST STE 107",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632954",
            "telephone_number": "805-842-2932",
            "fax_number": "805-842-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 VALLEY FAIR ST STE 107",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632954",
            "telephone_number": "804-404-9828",
            "fax_number": "818-344-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "DANELYAN",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-842-2932"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.