ANTONIO DIVISION
NPI 1356478093
Intermediate Care Facility, Intellectual Disabilities in Cerritos, CA

Active since February 28, 2007
17746 ANTONIO AVE, CERRITOS, CA 90703(562) 866-7054(562) 867-8053 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antonio Division NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTONIO DIVISION (NPI 1356478093) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Cerritos, California and active in the NPI registry since February 2007. The organization lists Cheryl Loflin Wertz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356478093
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameHARBOR HEALTHCARE INC
Location Address17746 ANTONIO AVECerritos, CA 90703-8822
Mailing Address16917 Clark AveBellflower, CA 90706-5703 · (562) 866-7054 · Fax (562) 867-8053
Fax(562) 867-8053
Organization SubpartNo
Authorized OfficialCheryl Loflin WertzCeo · (562) 866-7054
Enumeration DateFebruary 28, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1356478093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
17746 ANTONIO AVE, Cerritos, CA 90703

Other Names 1

Doing Business AsAntonio Division

Other Identifiers 1

MedicaidLTC60108ICA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Healthcare Inc's NPI number?

The NPI number for Harbor Healthcare Inc is 1356478093. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Antonio Division.

Where is Harbor Healthcare Inc located?

Harbor Healthcare Inc is located at 17746 Antonio Ave, Cerritos, CA 90703. The listed phone number is (562) 866-7054.

What is Harbor Healthcare Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Harbor Healthcare Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.