OLIVE TREE HAVEN, LLC
NPI 1245121144
Nursing Facility/Intermediate Care Facility in Colton, CA
NPI Status: Active since July 10, 2025
Contact Information
969 CYPRESS AVE
COLTON, CA
ZIP 92324
Phone: (760) 985-5555
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Nursing Facility/Intermediate Care Facil...
About OLIVE TREE HAVEN, LLC
This page provides the complete NPI Profile along with additional information for Olive Tree Haven, Llc, a provider established in Colton, California operating as a Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1245121144 assigned on July 2025. The practitioner's primary taxonomy code is 313M00000X. The provider is registered as an organization and their NPI record was last updated July 2025. The authorized official of this NPI record is Dr. Raed El Hajjaoui Md (President/owner)
- NPI
- 1245121144
- Provider Name
- OLIVE TREE HAVEN, LLC
- Entity Type
- Organization
- Location Address
- 969 CYPRESS AVE COLTON, CA 92324
- Location Phone
- (760) 985-5555
- Mailing Address
- 9206 HIDDEN FARM RD RANCHO CUCAMONGA, CA 91737
- Mailing Phone
- (760) 985-5555
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2025
- Last Update Date
- 07-10-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nursing Facility/Intermediate Care Facility
- Taxonomy Code
- 313M00000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 1 | 2 | 1 | 1 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 2 | 2 | 2 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 2 + 2 + 2 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1245121144 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245121144, enumerated as an "organization" on July 10, 2025.
The provider is located at 969 CYPRESS AVE COLTON, CA 92324 and the phone number is (760) 985-5555.
Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.
