Community Seniorserv, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

060000244 Issued in CA

Legal business name

COMMUNITY SENIORSERV, INC.

Doing business as

ANAHEIM VIP ADULT DAY HEALTH CARE

Practice address

1158 N Knollwood Cir
Anaheim, CA 92801-1307

Phone

(714) 220-2114

Fax

(714) 220-1406

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Holly Hagler

Title

President & Ceo

Phone

(714) 823-3285

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• ANAHEIM VIP ADULT DAY HEALTH CARE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Community Seniorserv Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Community Seniorserv, Inc.

  • Health Service Clinic/Center
  • Santa Ana, CA
  • NPI 1710104344
  NPD tax ID
• Community Seniorserv, Inc.

  • Home Delivered Meals
  • Anaheim, CA
  • NPI 1780951632
  NPD tax ID
• Seniorserv, Inc.

  • Case Management Agency
  • Anaheim, CA
  • NPI 1043553142
  NPD tax ID
• Seniorserv, Inc.

  • Home Delivered Meals
  • Anaheim, CA
  • NPI 1962744193
  NPD tax ID

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1770709305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N KNOLLWOOD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011309",
            "telephone_number": "714-220-0224",
            "fax_number": "714-816-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 N KNOLLWOOD CIR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011307",
            "telephone_number": "714-220-2114",
            "fax_number": "714-220-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SENIORSERV, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "HAGLER",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "714-823-3285"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "060000244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCAN PROVIDER ID",
            "identifier": "010695",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70057F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANAHEIM VIP ADULT DAY HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.