Eben Haven Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EBEN HAVEN INC

Practice address

30792 Stone Creek CT
Menifee, CA 92584-2722

Phone

(195) 131-8995

Fax

(951) 246-0368

NPI assigned

Mar 3, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth O Odunjo, RN

Title

Administrator

Phone

(951) 318-9956

Specialties & licenses 1

Addresses

Other names 1

• Eben Haven B&C Doing business as

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1992390884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30792 STONE CREEK CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842722",
            "telephone_number": "951-318-9956",
            "fax_number": "951-246-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30792 STONE CREEK CT",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925842722",
            "telephone_number": "195-131-8995",
            "fax_number": "951-246-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBEN HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "ODUNJO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "951-318-9956",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eben Haven B&C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlynn Alicia Dunn
• Cecilia Duran
• Juliane Dureza
• Valina Durham
• Julie Anne Dykstra, FNP-C
• Ngozi Edith Eboka
• Nova Edusada
• Deborah Lynne Eikmeier, LVN
• Rim Elian
• Elite Medical Transportation Services

• Assisted Living Facility in Menifee, CA
• Providers in Menifee, 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 Mar 3, 2021; 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.