Provider Demographics
NPI:1982856811
Name:NEWPORT BEACH SENIOR CARE, INC.
Entity Type:Organization
Organization Name:NEWPORT BEACH SENIOR CARE, INC.
Other - Org Name:COMFORT KEEPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ELYANN
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CSA
Authorized Official - Phone:714-432-7700
Mailing Address - Street 1:3151 AIRWAY AVE
Mailing Address - Street 2:SUITE K108
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4607
Mailing Address - Country:US
Mailing Address - Phone:714-432-7700
Mailing Address - Fax:714-432-7707
Practice Address - Street 1:3151 AIRWAY AVE
Practice Address - Street 2:SUITE K108
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-4607
Practice Address - Country:US
Practice Address - Phone:714-432-7700
Practice Address - Fax:714-432-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health