Portection of Mother of God Dba Anastasia

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PORTECTION OF MOTHER OF GOD DBA ANASTASIA

Practice address

3646 East Ave
Livermore, CA 94550-4862

Phone

(510) 692-7785

NPI assigned

Apr 2, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Octavian Mahler

Title

Licensee

Phone

(510) 692-7785

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1013769280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3646 EAST AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504862",
            "telephone_number": "510-692-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 EAST AVE",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504862",
            "telephone_number": "510-692-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTECTION OF MOTHER OF GOD DBA ANASTASIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "MAHLER",
        "authorized_official_first_name": "OCTAVIAN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "510-692-7785"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Pittis, MT
• DD Piyanontalee
• Gregory Pon
• Rochelle Kara Marinda Ponce
• Lezah Elizabeth Love Pope, LMFT
• Portia Bell Hume Behavioral Health and Training Center
• Portia Bell Hume Behavioral Health and Training Center
• Portia Bell Hume Behavioral Health and Training Center
• Portia Bell Hume Behavioral Health and Training Center
• Portia Bell Hume Behavioral Health and Training Center

• Assisted Living Facility in Livermore, CA
• Providers in Livermore, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.