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ECLC WAKE FOREST VILLA INC. NPI 1619225570


NPI Information

NPI: 1619225570
Provider Name: ECLC WAKE FOREST VILLA, INC.
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization
Address:
233 WAKE FOREST RD.
COSTA MESA, CA
ZIP 92626
Phone: (714) 434-9489
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ECLC WAKE FOREST VILLA, INC. is a custodial care facility in Costa Mesa, CA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. ECLC WAKE FOREST VILLA, INC. NPI is 1619225570. The provider is registered as an organization entity type.

The provider's business location address is:

233 WAKE FOREST RD.
COSTA MESA, CA
ZIP 92626-446
Phone: (714) 434-9489
Fax: (949) 642-0622

The provider's authorized official is Angelita Franco David .
The authorized official title is Administrator and has the following contact phone number (714) 434-9489.

The enumeration date for this NPI number is 8/27/2012 and was last updated on 8/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311Z00000XCustodial Care Facility306001960CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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