Provider Demographics
NPI:1629967278
Name:AMERICANA HEALTH FACILITY INC
Entity type:Organization
Organization Name:AMERICANA HEALTH FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:
Authorized Official - Last Name:SINCLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-429-9290
Mailing Address - Street 1:111 FASHION LN STE 250
Mailing Address - Street 2:
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3306
Mailing Address - Country:US
Mailing Address - Phone:714-408-2081
Mailing Address - Fax:866-724-7214
Practice Address - Street 1:111 FASHION LN STE 250
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3306
Practice Address - Country:US
Practice Address - Phone:714-408-2081
Practice Address - Fax:866-724-7214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care