Organization Active NPI

Irvine Adult Day Health Services Inc.

  • Adult Day Care Clinic/Center
  • Irvine, CA
National Provider Identifier
1407906597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
IRVINE ADULT DAY HEALTH SERVICES INC.
Practice address
20 Lake Rd
Irvine, CA 92604-4567
Phone
(949) 262-1123
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kimberly Beeson
Title
Executive Director
Phone
(949) 262-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X CA Primary

Addresses

Primary practice location

20 Lake Rd
Irvine, CA 92604-4567

Mailing address

20 Lake Rd
Irvine, CA 92604-4567
Phone (949) 262-1123

Other identifiers 1

IdentifierTypeStateIssuer
ADU70093FMedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1011453Irvine Adult Day Health Center20 Lake Road, Irvine, CA 92604Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

20 Lake Rd
Irvine, CA 92604
Phone (949) 262-1123

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407906597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 LAKE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044567",
            "telephone_number": "949-262-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 LAKE RD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926044567",
            "telephone_number": "949-262-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVINE ADULT DAY HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEESON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "949-262-1123"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70093F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.