LIFE TREE FOUNDATION
NPI 1962148809
Respite Care in Anaheim, CA

Active since May 12, 2022
155 N RIVERVIEW DR, ANAHEIM, CA 92808(888) 354-6993(909) 254-6800 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2022, May 12, 2022 (2 updates tracked since 2022).

  • Organization
  • Respite Care

About LIFE TREE FOUNDATION

This page provides the complete NPI Profile along with additional information for Life Tree Foundation, a provider established in Anaheim, California operating as a Respite Care. The healthcare provider is registered in the NPI registry with number 1962148809 assigned on May 2022. The practitioner's primary taxonomy code is 385H00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Mr. James Vandebrake (Ceo)

NPI
1962148809 Verify this NPI
Provider Name
LIFE TREE FOUNDATION
Entity Type
Organization
Location Address
155 N RIVERVIEW DR ANAHEIM, CA 92808
Location Phone
(888) 354-6993
Location Fax
(909) 254-6800
Mailing Address
155 N RIVERVIEW DR ANAHEIM, CA 92808
Mailing Phone
(888) 354-6993
Mailing Fax
(909) 254-6800
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2022
Last Update Date
10-04-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Respite Care

Taxonomy Code
385H00000X
Type
Respite Care Facility

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1177F00000XOther Service Providers

Lodging

 
2251B00000XAgencies

Case Management

 
3251X00000XAgencies

Supports Brokerage

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JAMES VANDEBRAKE

Authorized Official Title
CEO
Authorized Official Phone
(888) 354-6993

Reviews for LIFE TREE FOUNDATION

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Psychologist (Clinical)
155 N RIVERVIEW DR, STE. 209
ANAHEIM, CA 92808
Counselor (Mental Health)
155 N RIVERVIEW DR
ANAHEIM, CA 92808
Nurse Practitioner (Psychiatric/Mental Health)
155 N RIVERVIEW DR
ANAHEIM, CA 92808
Behavior Technician
155 N RIVERVIEW DR
ANAHEIM, CA 92808
Behavior Technician
155 N RIVERVIEW DR
ANAHEIM, CA 92808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962148809, enumerated as an "organization" on May 12, 2022.

The provider is located at 155 N RIVERVIEW DR ANAHEIM, CA 92808 and the phone number is (888) 354-6993.

Respite Care with taxonomy code 385H00000X.