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HARVEST SAFE HAVEN FOR BOYS
NPI 1174132807
Residential Treatment Facility, Emotionally Disturbed Children in Riverside, CA

Active since July 28, 2020
5425 SIERRA VISTA AVE, RIVERSIDE, CA 92505(951) 715-3126(951) 531-8605 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Harvest Safe Haven For Boys NPPES

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

HARVEST SAFE HAVEN FOR BOYS (NPI 1174132807) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children in Riverside, California and active in the NPI registry since July 2020. The organization lists Daniel Park, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1174132807
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameHARVEST SAFE HAVEN FOR BOYS
Location Address5425 SIERRA VISTA AVERiverside, CA 92505-3113
Mailing Address3380 La Sierra Ave Ste 104-242Riverside, CA 92503-5271 · (951) 715-3126 · Fax (951) 531-8605
Phone(951) 715-3126
Fax(951) 531-8605
Organization SubpartNo
Authorized OfficialDaniel ParkExecutive Director · (951) 295-8239
Enumeration DateJuly 28, 2020
NPPES CertifiedJuly 28, 2020
✔ NPI 1174132807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
5425 SIERRA VISTA AVE, Riverside, CA 92505
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IKE KERHULAS
Marriage & Family Therapist
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645
MS. IVONNE M VALDEZ ACSW # 116203
Social Worker
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 715-3126
BENNETT AGUBATA
Case Manager/Care Coordinator
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7545
MS. DALILA SANDOVAL ASW
Social Worker
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645
CITLALI HERNANDEZ
Case Manager/Care Coordinator
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645
JACOB TIMOTHY EDWARDS
Marriage & Family Therapist
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645
MR. KEVIN EUGENE PUCKETT JR.
Case Manager/Care Coordinator
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645
JESUS FERNANDO HERNANDEZ
Case Manager/Care Coordinator
5425 SIERRA VISTA AVE
RIVERSIDE, CA 92505
Riverside County (951) 299-7645

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 Harvest Safe Haven For Boys's NPI number?

The NPI number for Harvest Safe Haven For Boys is 1174132807. It was assigned to this organization in the NPPES registry on July 28, 2020.

Where is Harvest Safe Haven For Boys located?

Harvest Safe Haven For Boys is located at 5425 Sierra Vista Ave, Riverside, CA 92505. The listed phone number is (951) 715-3126.

What is Harvest Safe Haven For Boys's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Harvest Safe Haven For Boys was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.