Active NPI
Dedicated to Service, Inc.
- Adult Care Home Facility
- Laguna Hills, CA
National Provider Identifier
1376130047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.