Active NPI
Amethyst Home
- Assisted Living Facility
- Anaheim, CA
National Provider Identifier
1023864857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- AMETHYST HOME
- Practice address
- 10542 Sherrill St
Anaheim, CA 92804-5714 - Phone
- (657) 347-9605
- NPI assigned
- Apr 24, 2024
- Last updated
- Apr 24, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel G Abadines
- Title
- Ceo
- Phone
- (657) 347-9605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
10542 Sherrill St
Anaheim, CA 92804-5714
Mailing address
10542 Sherrill St
Anaheim, CA 92804-5714
Phone (657) 347-9605
National Provider Directory
National Provider Directory- Tax ID family
- Amethyst Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1023864857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10542 SHERRILL ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928045714",
"telephone_number": "657-347-9605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10542 SHERRILL ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928045714",
"telephone_number": "657-347-9605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMETHYST HOME",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "ABADINES",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "657-347-9605"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
- Willina Luckensie Ambroise
- America's Choices Medical Supply Company
- American Care Services, LLC (Hany's Guest Home)
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- American Current Care of California, a Medical Corporation (Concentra Urgent Care)
- Berenis Amezcua, RN
- Donna S Amezquita, NP
- Rich Amezquita, M.F.T.
- Ashokkumar I Amin, MD
- Summar Sami Amin, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.