Healthcare Provider Details

I. General information

NPI: 1649189358
Provider Name (Legal Business Name): R&N FAMILY SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 ANTON BLVD STE 150
COSTA MESA CA
92626-7036
US

IV. Provider business mailing address

555 ANTON BLVD STE 150
COSTA MESA CA
92626-7036
US

V. Phone/Fax

Practice location:
  • Phone: 949-205-8357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ALEX LOPEZ
Title or Position: DIRECTOR
Credential:
Phone: 949-205-8357