# COMMUNITY HAVEN CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Community Haven Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780451286
- **Authorized official:** EDWIN EVANGELISTA (ADMINISTRATOR)
- **Authorized official phone:** (626) 290-4772

## Contact information

- **Practice address:** 818 E MERCED AVE, WEST COVINA, CA 91790-5223
- **Practice address phone:** (626) 918-2991
- **Mailing address:** 818 E MERCED AVE, WEST COVINA, CA 91790-5223

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2023
- **Last updated:** 12/06/2023