NPIMap

Organization Active NPI

Guardian Healthcare Services

Doing business as D'amore Healthcare Services

  • Psychiatric Residential Treatment Facility
  • Huntington Beach, CA
National Provider Identifier
1164968301
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
GUARDIAN HEALTHCARE SERVICES
Doing business as
D'amore Healthcare Services
Practice address
16541 Gothard St Ste 102
Huntington Beach, CA 92647-4472
Phone
(949) 533-7122
NPI assigned
Jan 11, 2017
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Mr. Benjamin Woodford Smith
Title
Chief Administrative Officer
Phone
(949) 892-3020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

16541 Gothard St Ste 102
Huntington Beach, CA 92647-4472

Mailing address

16541 Gothard St Ste 102
Huntington Beach, CA 92647-4472

Other names 1

  • D'amore Healthcare Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
D'Amore Healthcare7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

16541 Gothard St
Ste 102
Huntington Beach, CA 92647
Phone (949) 533-7122

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1164968301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16541 GOTHARD ST STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16541 GOTHARD ST STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926474472",
            "telephone_number": "949-533-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "WOODFORD",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "949-892-3020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D'amore Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D'amore Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.