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ANAHEIM VIP ADULT DAY HEALTH CARE
NPI 1770709305
Clinic/Center - Health Service in Anaheim, CA

Active since April 18, 2007CLIA 05D0992836 · Waiver
1158 N KNOLLWOOD CIR, ANAHEIM, CA 92801(714) 220-2114(714) 220-1406 Get Directions Write a Review

NPPES record last updated: February 24, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Anaheim Vip Adult Day Health Care NPPES

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

ANAHEIM VIP ADULT DAY HEALTH CARE (NPI 1770709305) is a healthcare organization registered as a health service in Anaheim, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through October 25, 2027 and lists Holly Hagler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770709305
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameCOMMUNITY SENIORSERV, INC.
Location Address1158 N KNOLLWOOD CIRAnaheim, CA 92801-1307
Mailing Address1200 N Knollwood CirAnaheim, CA 92801-1309 · (714) 220-0224 · Fax (714) 816-7397
Phone(714) 220-2114
Fax(714) 220-1406
Organization SubpartNo
Authorized OfficialHolly HaglerExecutive Director · (714) 220-0224
Enumeration DateApril 18, 2007
Last NPPES UpdateFebruary 24, 2015
✔ NPI 1770709305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in CA · 060000244
1158 N KNOLLWOOD CIR, Anaheim, CA 92801
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Other Names 1

Doing Business AsAnaheim Vip Adult Day Health Care

Other Identifiers 2

Other010695CA · Scan Provider Id
MedicaidADU70057FCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0992836

Anaheim Vip Adult Day Health Care Ctr · Anaheim, CA
Active · expires Oct 25, 2027
CLIA Number05D0992836
Laboratory TypeOther
Certificate Effective DateOctober 26, 2025
Certificate Expiration DateOctober 25, 2027
Laboratory DirectorHarry L. Soe,pms,a MD
Laboratory Phone(714) 220-2414
Laboratory LocationAnaheim Vip Adult Day Health Care Ctr1158 N Knollwood Circle, Anaheim, CA 92801
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Community Seniorserv, Inc.'s NPI number?

The NPI number for Community Seniorserv, Inc. is 1770709305. It was assigned to this organization in the NPPES registry on April 18, 2007. The provider is doing business as Anaheim Vip Adult Day Health Care.

Where is Community Seniorserv, Inc. located?

Community Seniorserv, Inc. is located at 1158 N Knollwood Cir, Anaheim, CA 92801. The listed phone number is (714) 220-2114.

What is Community Seniorserv, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Community Seniorserv, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0992836) is associated with this NPI, valid through October 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Seniorserv, Inc. was last updated on February 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.