Healthcare Provider Details

I. General information

NPI: 1174921092
Provider Name (Legal Business Name): HIRED POWER TRANSITIONAL LIVING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21062 BROOKHURST ST STE 201
HUNTINGTON BEACH CA
92646-7404
US

IV. Provider business mailing address

21062 BROOKHURST ST STE 201
HUNTINGTON BEACH CA
92646
US

V. Phone/Fax

Practice location:
  • Phone: 714-615-0155
  • Fax: 888-870-3174
Mailing address:
  • Phone: 714-964-6730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number StateCA

VIII. Authorized Official

Name: NANETTE ZUMWALT
Title or Position: OWNER
Credential: CADC
Phone: 714-964-6730