Provider Demographics
NPI:1124359369
Name:HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:MACDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-384-3216
Mailing Address - Street 1:151 KALMUS DRIVE
Mailing Address - Street 2:SUITE K-1
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-5975
Mailing Address - Country:US
Mailing Address - Phone:714-384-3216
Mailing Address - Fax:714-388-3802
Practice Address - Street 1:1320 WEST PEARL STREET
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-5940
Practice Address - Country:US
Practice Address - Phone:714-780-1174
Practice Address - Fax:714-388-3802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-28
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA370094BP324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility