NPIMap

Organization Active NPI

Healthcare Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Anaheim, CA
National Provider Identifier
1790488112
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
HEALTHCARE SERVICES, INC.
Doing business as
The Lighthouse
Practice address
210 North Pearl
Units a, B, C, D
Anaheim, CA 90801
Phone
(714) 384-3339
Fax
(714) 384-3879
NPI assigned
Mar 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Peter Davidson
Title
Ceo
Phone
(714) 384-3339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

210 North Pearl
Units a, B, C, D
Anaheim, CA 90801

Mailing address

151 Kalmus Dr Ste K1
Costa Mesa, CA 92626-5975
Phone (714) 384-3339

Other names 1

  • The Lighthouse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anaheim Lighthouse7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1790488112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE K1",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265975",
            "telephone_number": "714-384-3339",
            "fax_number": "714-384-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 NORTH PEARL",
            "address_2": "UNITS A, B, C, D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "90801",
            "telephone_number": "714-384-3339",
            "fax_number": "714-384-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-384-3339"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lighthouse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Lighthouse",
            "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 Nov 19, 2024; 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.