Genesishealthcarenetwork,Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GENESISHEALTHCARENETWORK,INC.

Practice address

1901 Newport Blvd Ste 280
Suite 280
Costa Mesa, CA 92627-2286

Phone

(714) 313-8246

NPI assigned

Jan 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Rhett James Heckel

Title

Cfo

Phone

(714) 313-8246

Specialties & licenses 1

Addresses

Other names 1

• SerenityShoresRecoveryCenter Doing business as

Locations

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

{
    "created_epoch": "1357344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357344000000",
    "number": "1437496809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 280",
            "address_2": "SUITE 280",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272286",
            "telephone_number": "714-313-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD STE 280",
            "address_2": "SUITE 280",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272286",
            "telephone_number": "714-313-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESISHEALTHCARENETWORK,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-05",
        "last_updated": "2013-01-05",
        "status": "A",
        "authorized_official_last_name": "HECKEL",
        "authorized_official_first_name": "RHETT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-313-8246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SerenityShoresRecoveryCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Salvatore Peter Gasparre Jr., DC
• Jay Gattis, PSY.D.
• Danielle Bernice Gauss, IBCLC
• Beatrize Gaytan
• Elizabeth Beltran Gaytan
• Genetic Institute of Anti Aging
• Genex Laboratory Professional Corporation
• Gentle Breeze Manor LLC
• Gentle Hands Health Care Service, LLC
• Kalani Ann George

• Substance Abuse Rehabilitation Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2013; 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.