Coast New Horizon Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

COAST NEW HORIZON INC.

Practice address

824 Presidio Dr
Costa Mesa, CA 92626-5829

Phone

(714) 668-5607

Fax

(714) 668-1002

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Malihe Fakhouri

Title

Ceo

Phone

(949) 735-6058

Specialties & licenses 1

Addresses

Other names 1

• Coast New Horizon Inc. Former legal business name

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1295334357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 PRESIDIO DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265829",
            "telephone_number": "714-668-5607",
            "fax_number": "714-668-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 PRESIDIO DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265829",
            "telephone_number": "714-668-5607",
            "fax_number": "714-668-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST NEW HORIZON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "FAKHOURI",
        "authorized_official_first_name": "MALIHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-735-6058",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coast New Horizon Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Assisted Living Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.