Provider Demographics
NPI:1760263784
Name:CARE HAVEN ASSISTED LIVING, INC
Entity Type:Organization
Organization Name:CARE HAVEN ASSISTED LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALACHI
Authorized Official - Suffix:
Authorized Official - Credentials:ALR/QMP
Authorized Official - Phone:303-210-1761
Mailing Address - Street 1:632 DEFRAME CT
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-4534
Mailing Address - Country:US
Mailing Address - Phone:303-210-1761
Mailing Address - Fax:
Practice Address - Street 1:9 S DORIS DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:CO
Practice Address - Zip Code:81226-9447
Practice Address - Country:US
Practice Address - Phone:719-372-0749
Practice Address - Fax:719-784-1395
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE HAVEN ASSISTED LIVING, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility