Provider Demographics
NPI:1396443628
Name:WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE
Entity type:Organization
Organization Name:WHITTEN HEIGHTS ASSISTED LIVING AND MEMORY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLEN
Authorized Official - Middle Name:MASAO
Authorized Official - Last Name:NISHIKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-874-3807
Mailing Address - Street 1:200 W WHITTIER BLVD
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3877
Mailing Address - Country:US
Mailing Address - Phone:562-691-1200
Mailing Address - Fax:562-691-4971
Practice Address - Street 1:200 W WHITTIER BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3877
Practice Address - Country:US
Practice Address - Phone:562-691-1200
Practice Address - Fax:562-691-4971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility