The Heathers Senior Care, Inc

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

306001981 Issued in CA

Legal business name

THE HEATHERS SENIOR CARE, INC

Practice address

1565 Wintergreen PL
Costa Mesa, CA 92626-2524

Phone

(949) 631-5222

Fax

(949) 631-0522

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Heather Armbruster, RDH/EF/RCFE ADMINIST

Title

Owner

Phone

(949) 631-5222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1154778850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15926",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926595926",
            "telephone_number": "949-631-5222",
            "fax_number": "949-631-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 WINTERGREEN PL",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262524",
            "telephone_number": "949-631-5222",
            "fax_number": "949-631-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEATHERS SENIOR CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "ARMBRUSTER",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-631-5222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDH/EF/RCFE ADMINIST"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "306001981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Behavioral Disturbances) in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Assisted Living Facility (Behavioral Disturbances) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.