Flagstone Healthcare North, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FLAGSTONE HEALTHCARE NORTH, INC.

Practice address

29222 Rancho Viejo Rd Ste 127
San Juan Capistrano, CA 92675-1049

Phone

(949) 540-1249

Fax

(949) 540-1966

NPI assigned

Jun 29, 2020

Organization subpart

No

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

Authorized official

Name

Soon Burnam

Title

Treasurer

Phone

(949) 540-1249

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1831716505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-540-1249",
            "fax_number": "949-540-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29222 RANCHO VIEJO RD STE 127",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751049",
            "telephone_number": "949-540-1249",
            "fax_number": "949-540-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAGSTONE HEALTHCARE NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "BURNAM",
        "authorized_official_first_name": "SOON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "949-540-1249"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Elyse Fetner, B.S.W.
• Melissa Finaldi, LMFT
• First Light Recovery, LLC
• Jill Allison Fischer, MFT
• Flagstone Healthcare Central LLC
• Flagstone Healthcare South LLC
• Hannah Foerstel, M.S. CCC-SLP
• Payton Rose Devine Forche
• Christine Ann Fortmann, DDS
• Daniel Link Fortmann, M.D.

• Skilled Nursing Facility in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.