Organization Active NPI

MH Claremont Operating, LLC

  • Assisted Living Facility
  • Claremont, CA
National Provider Identifier
1093319022
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MH CLAREMONT OPERATING, LLC
Doing business as
Claremont Place Senior Living
Practice address
120 W San Jose Ave
Claremont, CA 91711-5294
Phone
(909) 447-5259
Fax
(909) 447-5939
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mr. Henry James Vaughn
Title
Reimbursement Analyst
Phone
(240) 595-6025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Alzheimer Center (Dementia Center) 311500000X

Addresses

Primary practice location

120 W San Jose Ave
Claremont, CA 91711-5294

Mailing address

120 W San Jose Ave
Claremont, CA 91711-5294
Phone (909) 447-5259

Other names 1

  • Claremont Place Senior Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1093319022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W SAN JOSE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115294",
            "telephone_number": "909-447-5259",
            "fax_number": "909-447-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W SAN JOSE AVE",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917115294",
            "telephone_number": "909-447-5259",
            "fax_number": "909-447-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH CLAREMONT OPERATING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "REIMBURSEMENT ANALYST",
        "authorized_official_telephone_number": "240-595-6025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Claremont Place Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.