Alzheimer'S Family Services Center

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

060000393 Issued in CA

Legal business name

ALZHEIMER'S FAMILY SERVICES CENTER

Practice address

9451 Indianapolis Ave
Huntington Beach, CA 92646-5955

Phone

(714) 593-9630

Fax

(714) 593-9632

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Cordula Dick-Muehlke, PH.D.

Title

Executive Director

Phone

(714) 593-1840

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adult Day Services of Orange County Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Alzheimers Family Services Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alzheimer'S Family Services Center

  • Adult Day Care Clinic/Center
  • Huntington Beach, CA
  • NPI 1487958385
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl Alvarez, PSY. D.

  • Psychologist
  • Huntington Beach, CA
  • NPI 1669915070
  Medicare reassignment NPD
• Corinne Enos, MSW

  • Clinical Social Worker
  • Huntington Beach, CA
  • NPI 1619411154
  NPD (past)
• Tracy Pham, RN

  • Registered Nurse
  • Huntington Beach, CA
  • NPI 1437694627
  NPD (past)
• Traci Roundy, RN

  • Registered Nurse
  • Huntington Beach, CA
  • NPI 1336684513
  NPD (past)
• Roxanne Lee Segroves, RN

  • Registered Nurse
  • Huntington Beach, CA
  • NPI 1215472493
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1093807661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9451 INDIANAPOLIS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465955",
            "telephone_number": "714-593-9630",
            "fax_number": "714-593-9632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9451 INDIANAPOLIS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926465955",
            "telephone_number": "714-593-9630",
            "fax_number": "714-593-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZHEIMER'S FAMILY SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "DICK-MUEHLKE",
        "authorized_official_first_name": "CORDULA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-593-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER",
            "identifier": "ADU70098F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Services of Orange County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Johnathon Angel Alvarez
• Jorge Alvarez
• Edward Alvo, LMFT
• Mohammad S Alwattar, MD
• Alyssa Chiropractic Inc
• Alzheimer'S Family Services Center
• Amal Tanagho Psychiatric Services, Inc.
• Jorge Amaro
• Madalyn Amato
• Subha Laxmi Amatya, M.D.

• Adult Day Care Clinic/Center in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.