Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
RURAL HAVEN
Active
Organization
RURAL HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN ELBANOWSKI (CEO/CFO)
(805) 525-0305
Entity
Organization
Contact information
Practice address
431 SARATOGA ST, FILLMORE, CA 93015-1531
(805) 524-4003
(805) 525-4003
Mailing address
715 E SANTA PAULA ST, SANTA PAULA, CA 93060-2063
(805) 525-0305
(805) 525-7776
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
050000507
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60872F
—
CA
Enumeration date
01/28/2006
Last updated
08/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up