Provider Demographics
NPI:1609330547
Name:TUSTIN HILLS HEALTHCARE, INC.
Entity Type:Organization
Organization Name:TUSTIN HILLS HEALTHCARE, INC.
Other - Org Name:THE HILLS POST ACUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:SOON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURNAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-540-1249
Mailing Address - Street 1:1800 OLD TUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-7810
Mailing Address - Country:US
Mailing Address - Phone:714-835-4900
Mailing Address - Fax:714-524-3325
Practice Address - Street 1:1800 OLD TUSTIN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-7810
Practice Address - Country:US
Practice Address - Phone:714-835-4900
Practice Address - Fax:714-524-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility