Organization Active NPI

Bun Circle Senior Care LLC

  • Nursing Home Administrator
  • Carson, CA
National Provider Identifier
1093595316
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
Legal business name
BUN CIRCLE SENIOR CARE LLC
Practice address
21504 Grace Ave
Carson, CA 90745-2127
Phone
(323) 407-0401
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Nilusha N Abeysinghe
Title
Ceo
Phone
(323) 407-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X Primary

Addresses

Primary practice location

21504 Grace Ave
Carson, CA 90745-2127

Mailing address

21504 Grace Ave
Carson, CA 90745-2127
Phone (323) 407-0401

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1093595316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21504 GRACE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452127",
            "telephone_number": "323-407-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21504 GRACE AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452127",
            "telephone_number": "323-407-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUN CIRCLE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "ABEYSINGHE",
        "authorized_official_first_name": "NILUSHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-407-0401"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.