Organization Active NPI

Artesia Adult Day Health Care, Inc

Doing business as New Life Adult Day Health Care Center

  • Adult Day Care Clinic/Center
  • Anaheim, CA
National Provider Identifier
1689883712
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
060000813 Issued in CA
Legal business name
ARTESIA ADULT DAY HEALTH CARE, INC
Doing business as
New Life Adult Day Health Care Center
Practice address
716 S Beach Blvd
Anaheim, CA 92804-3105
Phone
(714) 828-7898
Fax
(714) 828-3898
NPI assigned
May 22, 2007
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Eunie Koo
Title
Administrator
Phone
(714) 828-7898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 060000813 CA Primary

Addresses

Primary practice location

716 S Beach Blvd
Anaheim, CA 92804-3105

Mailing address

716 S Beach Blvd
Anaheim, CA 92804-3105
Phone (714) 828-7898

Other names 1

  • New Life Adult Day Health Care Center Doing business as

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
05D0998302New Life Adult Day Health Care716 S Beach Blvd, Anaheim, CA 92804Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

716 S Beach Blvd
Anaheim, CA 92804
Phone (714) 828-7898

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1689883712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043105",
            "telephone_number": "714-828-7898",
            "fax_number": "714-828-3898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043105",
            "telephone_number": "714-828-7898",
            "fax_number": "714-828-3898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIA ADULT DAY HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "KOO",
        "authorized_official_first_name": "EUNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-828-7898"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "060000813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life Adult Day Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.