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MOM'S HAVEN SENIOR CARE, LLC
NPI 1104216779
Nursing Care in Cathedral City, CA

Active since February 03, 2015
30758 BLOOMSBURY LANE, CATHEDRAL CITY, CA 92244(760) 699-5398 Get Directions Write a Review

NPPES record last updated: February 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mom's Haven Senior Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOM'S HAVEN SENIOR CARE, LLC (NPI 1104216779) is a healthcare organization registered as a nursing care in Cathedral City, California and active in the NPI registry since February 2015. The organization lists Analisa Ambat Cayabyab, Licensee, as its authorized official.

NPPES Registry Identity

NPI1104216779
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameMOM'S HAVEN SENIOR CARE, LLC
Location Address30758 BLOOMSBURY LANECathedral City, CA 92244
Mailing Address30758 Bloomsbury LaneCathedral, CA 92244 · (760) 699-5398
Phone(760) 699-5398
Organization SubpartNo
Authorized OfficialAnalisa Ambat CayabyabLicensee · (760) 218-8906
Enumeration DateFebruary 3, 2015
✔ NPI 1104216779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License✔ Licensed in CA · 336425569
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
30758 BLOOMSBURY LANE, Cathedral City, CA 92244
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mom's Haven Senior Care, LLC's NPI number?

The NPI number for Mom's Haven Senior Care, LLC is 1104216779. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Mom's Haven Senior Care, LLC located?

Mom's Haven Senior Care, LLC is located at 30758 Bloomsbury Lane, Cathedral City, CA 92244. The listed phone number is (760) 699-5398.

What is Mom's Haven Senior Care, LLC's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Mom's Haven Senior Care, LLC was last updated on February 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.