Assured Care Villa

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ASSURED CARE VILLA

Practice address

561 E 2ND Ave
La Habra, CA 90631-0820

Phone

(562) 774-6297

Fax

(562) 381-9333

NPI assigned

Jan 18, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Theresa Dompreh-MensahNPI 1912575416

Title

Licensee/Administrator

Phone

(562) 774-6297

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa Dompreh-Mensah

  • Assisted Living Facility
  • La Habra, CA
  • NPI 1912575416
  NPD Authorized official

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1033861372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 E 2ND AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310820",
            "telephone_number": "562-774-6297",
            "fax_number": "562-381-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 E 2ND AVE",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906310820",
            "telephone_number": "562-774-6297",
            "fax_number": "562-381-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE VILLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "DOMPREH-MENSAH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "562-774-6297",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristoffer Angelo Archival
• Barbara D. Arellano, MSW, LCSW
• Kambiz A Arman, M.D.
• Arrash Ahmadnia, DDS Inc
• Arsham Dianat DDS Inc
• Atrium Home Health Inc
• Auro Pharmacies Inc
• Pamela Austin, ASCW
• Avicure, Inc
• Wendy Aviles, CPT II

• Assisted Living Facility in La Habra, CA
• Providers in La Habra, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.