Life Tree Foundation

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

LIFE TREE FOUNDATION

Practice address

155 N Riverview Dr
Anaheim, CA 92808-1225

Phone

(888) 354-6993

Fax

(909) 254-6800

NPI assigned

May 12, 2022

Organization subpart

No

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

Authorized official

Name

Mr. James Vandebrake

Title

Ceo

Phone

(888) 354-6993

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1962148809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N RIVERVIEW DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081225",
            "telephone_number": "888-354-6993",
            "fax_number": "909-254-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N RIVERVIEW DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928081225",
            "telephone_number": "888-354-6993",
            "fax_number": "909-254-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TREE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "VANDEBRAKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-354-6993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Respite Care in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.