NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Garden Grove, CA
National Provider Identifier
1033436878
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550001247 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
12461 Springdale St
Garden Grove, CA 92845-2240
Phone
(714) 933-7560
Fax
(714) 933-7565
NPI assigned
May 3, 2010
Last updated
Aug 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sean Shea
Title
Director of Finance
Phone
(617) 688-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550001247 CA Primary

Addresses

Primary practice location

12461 Springdale St
Garden Grove, CA 92845-2240

Mailing address

163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 263-6632

Other identifiers 1

IdentifierTypeStateIssuer
550001247OtherCASTATE LICENSE

Other names 1

  • Neurorestorative Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2320354Caremeridian12461 Springdale St, Garden Grove, CA 92845Certificate of waiverMar 16, 2027

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian40 organizations share this tax ID, including this one
Part of
Indiana Mentor

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1033436878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TECHNOLOGY DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182486",
            "telephone_number": "949-263-6632",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12461 SPRINGDALE ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928452240",
            "telephone_number": "714-933-7560",
            "fax_number": "714-933-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2010-05-03",
        "last_updated": "2019-08-18",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-688-5251"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550001247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "550001247",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.