Organization Active NPI

Dedicated to Service, Inc.

  • Adult Care Home Facility
  • Laguna Hills, CA
National Provider Identifier
1376130047
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
DEDICATED TO SERVICE, INC.
Practice address
24961 Southport St
Laguna Hills, CA 92653-4924
Phone
(949) 305-6133
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Authorized official

Name
Herminia Zuehl
Title
Licensee/Owner
Phone
(949) 683-8736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

24961 Southport St
Laguna Hills, CA 92653-4924

Mailing address

22871 Ridge Route LN
Lake Forest, CA 92630-3675
Phone (949) 683-8736

Other names 1

  • Pacific Shores Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609113600000",
    "number": "1376130047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22871 RIDGE ROUTE LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303675",
            "telephone_number": "949-683-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24961 SOUTHPORT ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534924",
            "telephone_number": "949-305-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED TO SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ZUEHL",
        "authorized_official_first_name": "HERMINIA",
        "authorized_official_title_or_position": "LICENSEE/OWNER",
        "authorized_official_telephone_number": "949-683-8736"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Shores",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.