Organization Active NPI

Visiting Angels Living Assistance Services of Orange County

  • Case Management Agency
  • Garden Grove, CA
National Provider Identifier
1235690793
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
VISITING ANGELS LIVING ASSISTANCE SERVICES OF ORANGE COUNTY
Practice address
11602 Knott St Ste 7
Garden Grove, CA 92841-1825
Phone
(714) 379-4546
Fax
(714) 379-5484
NPI assigned
Mar 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Mrs. Kelly Anvari
Title
President
Phone
(714) 379-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

11602 Knott St Ste 7
Garden Grove, CA 92841-1825

Mailing address

11602 Knott St Ste 7
Garden Grove, CA 92841-1825
Phone (714) 379-4546

National Provider Directory

National Provider Directory

Locations

11602 Knott St
Ste 7
Garden Grove, CA 92841
Phone (714) 379-4546

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1235690793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11602 KNOTT ST STE 7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411825",
            "telephone_number": "714-379-4546",
            "fax_number": "714-379-5484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 KNOTT ST STE 7",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928411825",
            "telephone_number": "714-379-4546",
            "fax_number": "714-379-5484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANGELS LIVING ASSISTANCE SERVICES OF ORANGE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "ANVARI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-379-4546",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.