Active NPI
Harvest Retirement Corporation
- Assisted Living Facility
- Buena Park, CA
National Provider Identifier
1285092106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 306005207
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.