NPIMap

Organization Active NPI

Luxury Living Senior Care LLC

  • Assisted Living Facility
  • Orange, CA
National Provider Identifier
1083373302
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LUXURY LIVING SENIOR CARE LLC
Practice address
139 S Lincoln St
Orange, CA 92866-2235
Phone
(714) 600-7083
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Tin Le
Title
Ceo
Phone
(714) 600-7083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

139 S Lincoln St
Orange, CA 92866-2235

Mailing address

9049 Lemongrass CT
Fountain Valley, CA 92708-5604
Phone (714) 785-9555

Other names 1

  • Cyecrest Guest Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BTC Senior Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1083373302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9049 LEMONGRASS CT",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085604",
            "telephone_number": "714-785-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 S LINCOLN ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662235",
            "telephone_number": "714-600-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUXURY LIVING SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "TIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-600-7083"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cyecrest Guest Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cyecrest Guest Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.