Active NPI
Bun Circle Senior Care LLC
- Nursing Home Administrator
- Carson, CA
National Provider Identifier
1093595316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.