Warm Heart Residential Corp

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

WARM HEART RESIDENTIAL CORP

Doing business as

WARM HEART RESIDENTIAL

Practice address

3616 Langtry Ave
Atwater, CA 95301-5425

Phone

(209) 355-1111

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Dexter A Coward Jr.

Title

Owner

Phone

(209) 355-3111

Specialties & licenses 1

Addresses

Other names 1

• WARM HEART RESIDENTIAL Doing business as

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1275215782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 216",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953010216",
            "telephone_number": "209-355-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 LANGTRY AVE",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953015425",
            "telephone_number": "209-355-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARM HEART RESIDENTIAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "COWARD",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-355-3111",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WARM HEART RESIDENTIAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual Disabilities Intermediate Care Facility in Atwater, CA
• Providers in Atwater, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.