Organization Active NPI

Meadowlark Gardens, Inc.

  • Assisted Living Facility
  • Huntington Beach, CA
National Provider Identifier
1265960223
Registry record updated Jun 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MEADOWLARK GARDENS, INC.
Practice address
16412 Wishingwell LN
Huntington Beach, CA 92647-3565
Phone
(714) 319-7554
NPI assigned
Jun 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2017

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

Authorized official

Name
Ron Wilkes
Title
Administrator
Phone
(714) 319-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X CA Primary

Addresses

Primary practice location

16412 Wishingwell LN
Huntington Beach, CA 92647-3565

Mailing address

PO Box 2404
Huntington Beach, CA 92647-0404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496361600000",
    "number": "1265960223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2404",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16412 WISHINGWELL LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473565",
            "telephone_number": "714-319-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK GARDENS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-319-7554"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 2, 2017; 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.