Lifestream Hope & Wellness Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESTREAM HOPE & WELLNESS CENTER, INC.

Practice address

2030 East 4TH Street
Suite 115D
Santa Ana, CA 92705

Phone

(714) 541-1100

NPI assigned

Jun 14, 2013

Organization subpart

Yes

Parent organization

GS HEALTHCARE MANAGEMENT, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Ethan W Grant, BSN, RN, PHN

Title

President

Phone

(714) 555-1212

Specialties & licenses 1

Addresses

Part of

Lifestream Hope Wellness Center Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Monroe Matejcek, R.N

  • Registered Nurse
  • Santa Ana, CA
  • NPI 1255777538
  NPD (past)
• Janet Ann Smith, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1386906386
  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459728000000",
    "number": "1376982132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 EAST 4TH STREET",
            "address_2": "SUITE 115D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-541-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 EAST 4TH STREET",
            "address_2": "SUITE 115D",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92705",
            "telephone_number": "714-541-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTREAM HOPE & WELLNESS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GS HEALTHCARE MANAGEMENT, LLC",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-04-04",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-555-1212",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSN, RN, PHN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Liebhard, LMFT
• Monica Huyentran Lieu, PA
• Life Generations Healthcare LLC
• Life Health Care Medical Group Inc
• Life Linc Habaco, Inc
• Lifetime Value Pharmacy III, Inc.
• Jennifer Marie Lightner-Farrell
• Katrina Ligon
• Lili Mirtorabi, D.D.S., a Professional Corporation
• Silvia Isabel Lilly

• Community/Behavioral Health Agency in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.