Organization Active NPI

Life Solution Healthcare Services

  • Home Health Agency
  • Fountain Valley, CA
National Provider Identifier
1467104935
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIFE SOLUTION HEALTHCARE SERVICES
Practice address
9550 Warner Ave Ste 250-20
Fountain Valley, CA 92708-2800
Phone
(678) 857-2179
NPI assigned
Jan 25, 2022
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Eugene Sta Ana
Title
Ceo
Phone
(678) 857-2179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

9550 Warner Ave Ste 250-20
Fountain Valley, CA 92708-2800

Mailing address

9550 Warner Ave Ste 250-20
Fountain Valley, CA 92708-2800

Other identifiers 1

IdentifierTypeStateIssuer
C4824309OtherCAARTICLES OF INCORPORATION

Other names 1

  • LIFE SOLUTION HEALTHCARE SERVICES Former legal business name

National Provider Directory

National Provider Directory

Locations

9550 Warner Ave
#25020
Fountain Valley, CA 92708
Phone (714) 593-2320

9550 Warner Ave
Ste 25020
Fountain Valley, CA 92708
Phone (678) 857-2179

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1467104935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 250-20",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 WARNER AVE STE 250-20",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927082800",
            "telephone_number": "678-857-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE SOLUTION HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "STA ANA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-857-2179"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARTICLES OF INCORPORATION",
            "identifier": "C4824309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE SOLUTION HEALTHCARE SERVICES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.