Healthcare Provider Details

I. General information

NPI: 1033307517
Provider Name (Legal Business Name): WESTWAYS HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2007
Last Update Date: 03/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 E CENTER ST STE 101
ANAHEIM CA
92805-3474
US

IV. Provider business mailing address

1811 E CENTER ST SUITE 101
ANAHEIM CA
92805-3401
US

V. Phone/Fax

Practice location:
  • Phone: 714-956-1515
  • Fax:
Mailing address:
  • Phone: 714-956-1515
  • Fax: 714-956-1570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number550000846
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSE B MARCELO
Title or Position: PRESIDENT
Credential:
Phone: 714-956-1515