MEDICARE: ORCHID HOUSE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)

General Provider Information

NPI Number	:	1932536752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORCHID HOUSE LLC

Provider Business Mailing Address
First Line	:	1954 PLACENTIA AVE
Second Line	:	SUITE #200
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3459
Country	:	US
Telephone Number	:	949-872-0402
Fax Number	:

Provider Business Practice Location Address
First Line	:	3730 RAMONA DR
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92707-4733
Country	:	US
Telephone Number	:	949-872-0402
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MS. SHANNON V CARVER
Credential	:
Telephone Number	:	949-872-0402

Provider Enumeration Date	:	10/11/2013
Last Update Date	:	10/11/2013

Similar Medicare Providers

1811362668 — SHARON DAVIS
Practice Location Address:

130 LINCOLN ST
SANTA ROSA, CA
95401-4733

Practice Phone: 707-299-8596
Practice Fax:

1750044855 — MR. THOMAS REGIS LYON LMFT
Practice Location Address:

256 HARTNELL RD
SANTA MARIA, CA
93455-4733

Practice Phone: 805-878-4421
Practice Fax:

1790643591 — JULAUN MICHELLE LEWIS
Practice Location Address:

1968 19TH ST APT 2
SANTA MONICA, CA
90404-4733

Practice Phone: 323-357-2286
Practice Fax:

1154279479 — GIL REAL
Practice Location Address:

1030 W WARNER AVE
SANTA ANA, CA
92707-3147

Practice Phone: 714-546-6450
Practice Fax: 949-378-8983

1831508761 — MICHELLE KOEHLER
Practice Location Address:

2 MACARTHUR PL STE 900
SANTA ANA, CA
92707-7730

Practice Phone: 949-374-6545
Practice Fax:

1285589358 — INDALICIA MARIA BARGAS PMHNP-BC
Practice Location Address:

1030 W WARNER AVE
SANTA ANA, CA
92707-3147

Practice Phone: 714-272-8678
Practice Fax:

Directions to “ORCHID HOUSE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.