Healthcare Provider Details

I. General information

NPI: 1831856509
Provider Name (Legal Business Name): HEYDAY SENIOR LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2021
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18480 SANTA ALBERTA CIR
FOUNTAIN VALLEY CA
92708-5521
US

IV. Provider business mailing address

3480 E PARADUXX PRIVADO
ONTARIO CA
91762-7505
US

V. Phone/Fax

Practice location:
  • Phone: 949-558-4478
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: REA ALIM
Title or Position: CEO
Credential:
Phone: 949-558-4478