JC Cottages LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

JC COTTAGES LLC

Practice address

1013 Hollydale Dr
Fullerton, CA 92831-2820

Phone

(714) 519-3927

Fax

(714) 622-5118

NPI assigned

Jul 31, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jay Jeremy Parungao

Title

Manager

Phone

(714) 728-5519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1043820434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 SHASTA LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473027",
            "telephone_number": "714-728-5519",
            "fax_number": "714-622-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 HOLLYDALE DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928312820",
            "telephone_number": "714-519-3927",
            "fax_number": "714-622-5118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928677050",
            "country_code": "US",
            "telephone_number": "714-912-4929",
            "fax_number": "714-622-5118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JC COTTAGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-31",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "PARUNGAO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "JEREMY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-728-5519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, 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 Jun 5, 2023; 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.