Organization Active NPI

Harvest Retirement Corporation

  • Assisted Living Facility
  • Buena Park, CA
National Provider Identifier
1285092106
Registry record updated Feb 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
306005207 Issued in CA
Legal business name
HARVEST RETIREMENT CORPORATION
Practice address
9011 Knott Ave
Buena Park, CA 90620-4138
Phone
(714) 821-4130
Fax
(949) 608-1588
NPI assigned
Feb 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2016

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

Authorized official

Name
Mrs. Ginger PO
Title
President
Phone
(949) 648-2737

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 306005207 CA Primary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 306005207 CA
Alzheimer Center (Dementia Center) 311500000X 306005207 CA
Inpatient Hospice 315D00000X 306005207 CA

Addresses

Primary practice location

9011 Knott Ave
Buena Park, CA 90620-4138

Mailing address

9011 Knott Ave
Buena Park, CA 90620-4138
Phone (714) 821-4130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454716800000",
    "number": "1285092106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204138",
            "telephone_number": "714-821-4130",
            "fax_number": "949-608-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9011 KNOTT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204138",
            "telephone_number": "714-821-4130",
            "fax_number": "949-608-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEST RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-06",
        "last_updated": "2016-02-06",
        "status": "A",
        "authorized_official_last_name": "PO",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-648-2737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306005207",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "CA",
            "license": "306005207",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "306005207",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CA",
            "license": "306005207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.