Sure Haven Inc.

LBN: Sure Haven Inc.
Sure Haven Inc. is an health care organization with primary practice located at 2900 Bristol St , Costa Mesa CA 92626-5981. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Sure Haven Inc. can be contacted via phone (702) 305-9167, or through Fennelly, Steve via phone (702) 305-9167.

Contact Information

Primary practice address
2900 Bristol St Costa Mesa CA 92626-5981
Phone: (702) 305-9167
Fax: (949) 209-5490
Website:
Map and Directions
Authorized official contact:
Name: Fennelly, Steve
Phone: (702) 305-9167

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1942545199
LBN Legal business name Sure Haven Inc.
DBA Doing business as
Authorized official Fennelly, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2012
Last updated Dec 28th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942545199 NPPES
California Other 300235QP CA DHCS

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