THE HEATHERS SENIOR CARE, INC (NPI# 1154778850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154778850 |
| Entity Type | Organization |
| Organization Name | THE HEATHERS SENIOR CARE, INC |
| Practice Address |
1565 Wintergreen Pl Costa Mesa CA 92626-2524 |
| Mailing Address |
Po Box 15926 Newport Beach CA 92659-5926 |
| Practice Telephone | 9496315222 |
| Practice Fax Number | 9496310522 |
| Mailing Telephone | 9496315222 |
| Mailing Fax Number | 9496310522 |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |
| Authorized Official Name | MS. HEATHER ARMBRUSTER (OWNER) |
| Authorized Official Telephone | 9496315222 |
| Authorized Official Credential | RDH/EF/RCFE ADMI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
306001981 | CA | Nursing & Custodial Care Facilities |
| Street Address |
1565 WINTERGREEN PL |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92626-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536982 | Sergio Gutierrez | Behavior Technician | 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 | 2020-10-22 |
| 1780201848 | Kelly Chauvet | Behavior Technician | 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 | 2020-07-06 |
| 1316564610 | Timo Rosa | Behavior Technician | 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 | 2020-07-02 |
| 1255966115 | Dalia A Sehweil | Behavior Technician | 1111 Baker, Costa Mesa, CA 92626 | 2020-03-11 |
| 1265071096 | Austin Stotelmyre | Behavior Technician | 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 | 2019-12-26 |
| 1396383022 | The Open Table | Community/Behavioral Health | 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 | 2019-12-12 |
| 1851933550 | Jennifer Rivera | Behavior Technician | 1111 Baker St. Unit #a, Costa Mesa, CA 92626 | 2019-10-14 |
| 1962053595 | Peter Na | Behavior Technician | Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 | 2019-09-25 |
| 1346897147 | Jennifer Lopez | Behavior Technician | 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 | 2019-08-26 |
| 1679134084 | Danny Garcia Chiropractic, PC | Chiropractor | 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 | 2019-06-26 |
| Find all providers in zip 92626 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
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| 1992337448 | Karteena's Rcfe | Assisted Living Facility | 20019 Midtown Ave, Carson, CA 90746-3119 | 2020-02-12 |
| 1558892760 | Beit Hillel Sobriety, Inc. | Assisted Living Facility | 1653 S Rimpau Blvd, Los Angeles, CA 90019-5658 | 2017-03-21 |
| 1679927016 | Autumn Ridge, L.p. | Assisted Living Facility | 14280 W Stanislaus, Autumn Ridge Lp, Kerman, CA 93630 | 2016-04-22 |
| 1437512571 | Friendship Care Home | Assisted Living Facility | 1907 Cavallo Rd, Antioch, CA 94509-2713 | 2016-04-05 |
| 1285092106 | Harvest Retirement Corporation | Assisted Living Facility | 9011 Knott Ave, Buena Park, CA 90620-4138 | 2016-02-06 |
| 1891167912 | Habilitative Homes Residential Care Facility | Assisted Living Facility | 11775 Walnut Rd, Lakeside, CA 92040-5624 | 2015-10-28 |
| 1477929628 | Seville Circle Inc. | Assisted Living Facility | 1900 Grismer Ave., Burbank, CA 91504 | 2015-08-11 |
| 1528457066 | Silver Lining Care Home | Assisted Living Facility | 3570 Hazeltine Ln, Roseville, CA 95747-6319 | 2015-01-21 |
| 1972906584 | Baj Management, Inc. | Assisted Living Facility | 800 Prospect Ave, South Pasadena, CA 91030-2420 | 2014-09-28 |
| 1215358452 | Yolanda Villanueva | Assisted Living Facility | 10204 Gerald Ave, North Hills, CA 91343-1132 | 2013-12-13 |
| Find all providers with the same taxonomy | ||||
| City | COSTA MESA |
| Zip Code | 92626 |
Please comment or provide details below to improve the information on THE HEATHERS SENIOR CARE, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.