Active NPI
Jwbjw-Adhc
- Adult Day Care Clinic/Center
- Long Beach, CA
National Provider Identifier
1508043803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- JWBJW-ADHC
- Practice address
- 2385 Pacific Ave
Long Beach, CA 90806-3025 - Phone
- (562) 426-7772
- NPI assigned
- Jan 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheilah Grier
- Title
- Director of Patient Accounting
- Phone
- (562) 426-7772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | CA | Primary |
Addresses
Primary practice location
2385 Pacific Ave
Long Beach, CA 90806-3025
Mailing address
2385 Pacific Ave
Long Beach, CA 90806-3025
Phone (562) 426-7772
Other names 1
- Active Adult Day Healthcare
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201564800000",
"number": "1508043803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2385 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908063025",
"telephone_number": "562-426-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2385 PACIFIC AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908063025",
"telephone_number": "562-426-7772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JWBJW-ADHC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-29",
"last_updated": "2008-01-29",
"status": "A",
"authorized_official_last_name": "GRIER",
"authorized_official_first_name": "SHEILAH",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTING",
"authorized_official_telephone_number": "562-426-7772"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Active Adult Day Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.