Organization Active NPI

Kinsmen LLC

  • Assisted Living Facility
  • Upland, CA
National Provider Identifier
1093628943
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
KINSMEN LLC
Practice address
1213 N Vallejo Way
Upland, CA 91786-3052
Phone
(714) 408-8996
NPI assigned
Sep 23, 2026
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Toby MiclatNPI 1376390393
Title
Member
Phone
(714) 408-8996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1213 N Vallejo Way
Upland, CA 91786-3052

Mailing address

1213 N Vallejo Way
Upland, CA 91786-3052
Phone (714) 408-8996

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1790121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1093628943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N VALLEJO WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863052",
            "telephone_number": "714-408-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N VALLEJO WAY",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863052",
            "telephone_number": "714-408-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINSMEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-23",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "MICLAT",
        "authorized_official_first_name": "TOBY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "714-408-8996"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.