Iborrow 525 W la Palma Tenant, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

IBORROW 525 W LA PALMA TENANT, LLC

Practice address

525 W la Palma Ave
Anaheim, CA 92801-2432

Phone

(714) 687-9826

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Henry James Vaughn

Title

Reimbursement Analyst

Phone

(240) 595-6025

Specialties & licenses 2

Addresses

Other names 1

• Harbor Heights Assisted Living & Memory Care Doing business as

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1497309843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012432",
            "telephone_number": "714-687-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012432",
            "telephone_number": "714-687-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBORROW 525 W LA PALMA TENANT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Heights Assisted Living & Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessenia Ibarra, AMFT, APCC
• Luz Ibarra
• Sergio Camarena Ibarra
• Taylor Ibasitas, PHARMD
• Precious Ibe
• Ibrahim Al-Qawaqneh DDS, Inc.
• Safwan Ibrahim
• Ibtesam Rafaee MD Inc
• Mary Ibuki
• Torey Ichien

• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, 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 Jul 24, 2019; 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.