# HAVEN CREST CONGREGATE LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457232985
- **Authorized official:** GURPREET KOCHHAR (OWNER)
- **Authorized official phone:** (909) 347-4777

## Contact information

- **Practice address:** 9150 BOXWOOD AVE, FONTANA, CA 92335-5009
- **Practice address phone:** (909) 347-4777
- **Mailing address:** 3543 E DELIGHT PASEO, ONTARIO, CA 91761-4184
- **Mailing address phone:** (909) 347-4777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2025
- **Last updated:** 09/11/2025