Active NPI
Olive Branch Care Services, Inc.
- Nursing Facility/Intermediate Care Facility
- Mission Viejo, CA
National Provider Identifier
1124292313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- OLIVE BRANCH CARE SERVICES, INC.
- Practice address
- 27716 Torija
Mission Viejo, CA 92691-1412 - Phone
- (949) 357-3795
- Fax
- (949) 916-9971
- NPI assigned
- Apr 17, 2008
- 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
- Mr. Ahmad Ali Haeri
- Title
- President/C.E.O
- Phone
- (949) 357-3795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
27716 Torija
Mission Viejo, CA 92691-1412
Mailing address
PO Box 939
Lake Forest, CA 92609-0939
Phone (949) 357-3795
Other names 1
- Torija Home
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1124292313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 939",
"city": "LAKE FOREST",
"state": "CA",
"postal_code": "926090939",
"telephone_number": "949-357-3795",
"fax_number": "949-916-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27716 TORIJA",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926911412",
"telephone_number": "949-357-3795",
"fax_number": "949-916-9971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLIVE BRANCH CARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "HAERI",
"authorized_official_first_name": "AHMAD",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT/C.E.O",
"authorized_official_telephone_number": "949-357-3795",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Torija Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.