Sea Breeze Health Care, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

060000113 Issued in CA

Legal business name

SEA BREEZE HEALTH CARE, INC.

Doing business as

Beachside Nursing Center

Practice address

7781 Garfield Ave
Huntington Beach, CA 92648-2026

Phone

(714) 847-9671

NPI assigned

Dec 8, 2005

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Johnson

Title

Cfo

Phone

(949) 373-8373

Specialties & licenses 1

Addresses

Other names 1

• BEACHSIDE NURSING CENTER Doing business as

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1871578187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 350",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926917908",
            "telephone_number": "949-441-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7781 GARFIELD AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482026",
            "telephone_number": "714-847-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA BREEZE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-373-8373"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACHSIDE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BEACHSIDE NURSING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Huntington Beach, CA
• Providers in Huntington Beach, 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 Apr 5, 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.