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RURAL HAVEN
NPI 1245201284
Intermediate Care Facility, Intellectual Disabilities in Fillmore, CA

Active since January 28, 2006CLIA 05D1080121 · Waiver
431 SARATOGA ST, FILLMORE, CA 93015(805) 524-4003(805) 525-4003 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rural Haven NPPES

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

RURAL HAVEN (NPI 1245201284) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Fillmore, California and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through February 13, 2028 and lists Kathleen Elbanowski, Ceo/cfo, as its authorized official.

NPPES Registry Identity

NPI1245201284
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameRURAL HAVEN
Location Address431 SARATOGA STFillmore, CA 93015-1531
Mailing Address715 E Santa Paula StSanta Paula, CA 93060-2063 · (805) 525-0305 · Fax (805) 525-7776
Phone(805) 524-4003
Fax(805) 525-4003
Organization SubpartNo
Authorized OfficialKathleen ElbanowskiCeo/cfo · (805) 525-0305
Enumeration DateJanuary 28, 2006
Last NPPES UpdateAugust 18, 2008
✔ NPI 1245201284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in CA · 050000507
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
431 SARATOGA ST, Fillmore, CA 93015
Open in Google Maps ↗

Other Identifiers 1

MedicaidLTC60872FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1080121

Rural Haven Home · Fillmore, CA
Active · expires Feb 13, 2028
CLIA Number05D1080121
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateFebruary 14, 2026
Certificate Expiration DateFebruary 13, 2028
Laboratory DirectorDr. Abdol M. Zia
Laboratory Phone(805) 520-3441
Laboratory LocationRural Haven Home471 Saratoga St, Fillmore, CA 93015
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

EPIPHANY CARE HOMES INC
Intermediate Care Facility, Intellectual Disabilities
431 SARATOGA ST
FILLMORE, CA 93015
Ventura County (805) 524-4003

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 Rural Haven's NPI number?

The NPI number for Rural Haven is 1245201284. It was assigned to this organization in the NPPES registry on January 28, 2006.

Where is Rural Haven located?

Rural Haven is located at 431 Saratoga St, Fillmore, CA 93015. The listed phone number is (805) 524-4003.

What is Rural Haven's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Does Rural Haven hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1080121) is associated with this NPI, valid through February 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rural Haven was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.