Organization Active NPI

Valley Crest Memory Care LLC

  • Assisted Living Facility
  • Apple Valley, CA
National Provider Identifier
1043056849
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VALLEY CREST MEMORY CARE LLC
Doing business as
Valley Crest
Practice address
18524 Corwin Rd
Apple Valley, CA 92307-2302
Phone
(760) 242-3188
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Shlomo Aron
Title
LLC Member
Phone
(323) 217-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

18524 Corwin Rd
Apple Valley, CA 92307-2302

Mailing address

5967 W 3Rd St
Los Angeles, CA 90036-2835
Phone (323) 217-7877

Other names 1

  • Valley Crest Doing business as

National Provider Directory

National Provider Directory

Locations

5967 W 3rd St
Los Angeles, CA 90036
Phone (323) 745-5800

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1043056849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5967 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362835",
            "telephone_number": "323-217-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18524 CORWIN RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072302",
            "telephone_number": "760-242-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CREST MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "ARON",
        "authorized_official_first_name": "SHLOMO",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "323-217-7877"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Crest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.