Alice Way Homecare Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ALICE WAY HOMECARE INC

Practice address

211 S Alice Way
Anaheim, CA 92806-4034

Phone

(714) 833-5624

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Tam N Mouden

Title

Administrator

Phone

(714) 721-4153

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1164071916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S ALICE WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064034",
            "telephone_number": "714-833-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S ALICE WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064034",
            "telephone_number": "714-833-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE WAY HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MOUDEN",
        "authorized_official_first_name": "TAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-721-4153"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Anaheim, CA
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.