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General NPI Number Information
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NPI Number | 1689539777
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Entity Type | Organization
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Legal Business Name | NEWPORT HEIGHTS HEALTHCARE
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 466 E 16TH ST
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City | COSTA MESA
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State | CA
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Zip | 92627-3266
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Country | US
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Telephone | 949-343-0464
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Fax | 949-606-7497
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Provider Business Mailing Address
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Address Line | 466 E 16TH ST
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City | COSTA MESA
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State | CA
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Zip | 92627-3266
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Country | US
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Telephone | 949-343-0464
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Fax | 949-606-7497
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM CORTLAND GREEN
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Credential |
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Telephone | 949-397-0658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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