Active NPI
Colette'S Children Home
- Case Management Agency
- Huntington Beach, CA
National Provider Identifier
1053021113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- COLETTE'S CHILDREN HOME
- Practice address
- 7372 Prince Dr Ste 106
Huntington Beach, CA 92647-4574 - Phone
- (714) 596-1380
- NPI assigned
- Nov 30, 2022
- 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
- William O'Connell
- Title
- Executive Director
- Phone
- (714) 596-1380
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Voluntary or Charitable Agency | 251V00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Point of Service | 305S00000X |
Addresses
Primary practice location
7372 Prince Dr Ste 106
Huntington Beach, CA 92647-4574
Mailing address
7372 Prince Dr Ste 106
Huntington Beach, CA 92647-4574
Phone (714) 596-1380
Other names 1
- Colette's Children's Home
National Provider Directory
National Provider DirectoryLocations
7372 Prince Dr
Ste 106
Huntington Beach, CA 92647
Phone (714) 596-1380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1053021113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7372 PRINCE DR STE 106",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474574",
"telephone_number": "714-596-1380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7372 PRINCE DR STE 106",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474574",
"telephone_number": "714-596-1380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLETTE'S CHILDREN HOME",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-29",
"status": "A",
"authorized_official_last_name": "O'CONNELL",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "714-596-1380"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colette's Children's Home",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.