MED SITE HACIENDA HEIGHTS (NPI# 1285841635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285841635 |
Entity Type | Organization |
Organization Name | MED SITE HACIENDA HEIGHTS |
Other Organization Name | A DAY AWAY...ADHC |
Practice Address |
15060 E. Imperial Hwy La Mirada CA 90638 |
Practice Telephone | 5629025305 |
Practice Fax Number | 5629020835 |
Mailing Telephone | 5629025305 |
Mailing Fax Number | 5629020835 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | PAT BRAY (VICE PRESIDENT) |
Authorized Official Telephone | 5629027757 |
Authorized Official Credential | RN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | ADU70185F | 05 |
Other Name | Type Code |
---|---|
A Day Away...ADHC | Doing Business As Name - Organization |
Street Address |
15060 E. IMPERIAL HWY |
City | LA MIRADA |
State | CA |
Zip Code | 90638 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
Find all providers in zip 90638 |
Taxonomy Code | 261QA0600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Day Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437757317 | Sc Evergreen Health Management Inc. | Clinic/Center | 8408 Garvey Ave Ste 101, Rosemead, CA 91770-2681 | 2020-10-13 |
1881291326 | Comfort Care Adult Day Health Care Center Inc. | Clinic/Center | 3401 Rio Hondo Ave, El Monte, CA 91731-2919 | 2020-10-07 |
1972114890 | Square Health, LLC | Clinic/Center | 17057 Foothill Blvd Ste 101, Fontana, CA 92335-3574 | 2020-08-13 |
1598375172 | Oc Health, Inc. | Clinic/Center | 319 E Ball Rd, Anaheim, CA 92805-6313 | 2020-08-07 |
1023626058 | Sk Health LLC | Clinic/Center | 14619 S Western Ave, Gardena, CA 90249-3305 | 2020-07-15 |
1790393718 | Angeles Del Sol Adhc, LLC | Clinic/Center | 820 N Diamond Bar Blvd, Diamond Bar, CA 91765-1039 | 2020-07-15 |
1790314201 | Bright & Right Adult Day Health Care, Inc. | Clinic/Center | 261 S Kenmore Ave, Los Angeles, CA 90004-5604 | 2020-04-06 |
1952937203 | Golden Life Adult Day Care Services, Inc | Clinic/Center | 15541 Ashley Ave, Westminster, CA 92683-6901 | 2020-03-19 |
1326674672 | Royal Care Adult Day Health Care, Inc | Clinic/Center | 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 | 2020-03-19 |
1780210476 | Unique Adult Day Healthcare Inc. | Clinic/Center | 14127 S Tajauta Ave, Compton, CA 90222-3729 | 2020-03-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.