Provider Demographics
NPI:1891225892
Name:HAVEN HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:HAVEN HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-842-2932
Mailing Address - Street 1:4225 VALLEY FAIR ST STE 107
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-2954
Mailing Address - Country:US
Mailing Address - Phone:805-842-2932
Mailing Address - Fax:805-842-2934
Practice Address - Street 1:4225 VALLEY FAIR ST STE 107
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-2954
Practice Address - Country:US
Practice Address - Phone:804-404-9828
Practice Address - Fax:818-344-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based