Amethyst Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AMETHYST HOME

Doing business as

Amethyst Home 2

Practice address

6022 Amberdale Dr
Yorba Linda, CA 92886-5951

Phone

(657) 347-9605

NPI assigned

Apr 24, 2024

Last updated

Apr 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manuel G Abadines

Title

Ceo

Phone

(657) 347-9605

Specialties & licenses 1

Addresses

Other names 1

• Amethyst Home 2 Doing business as

Tax ID family

Amethyst Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amethyst Home

  • Assisted Living Facility
  • Anaheim, CA
  • NPI 1023864857
  NPD tax ID

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1407602238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 AMBERDALE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865951",
            "telephone_number": "657-347-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 AMBERDALE DR",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865951",
            "telephone_number": "657-347-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "ABADINES",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "657-347-9605"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst Home 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Karrie Anderson, MA, BCBA

• Assisted Living Facility in Yorba Linda, CA
• Providers in Yorba Linda, 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 Apr 24, 2024; 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.