Organization Active NPI

Olive Branch Care Services, Inc.

  • Nursing Facility/Intermediate Care Facility
  • Mission Viejo, CA
National Provider Identifier
1124292313
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Apr 17, 2008

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.