Active NPI
North County Senior Services, LLC
- Adult Day Care Clinic/Center
- Garden Grove, CA
National Provider Identifier
1124556592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- NORTH COUNTY SENIOR SERVICES, LLC
- Practice address
- 11391 Acacia Pkwy
Garden Grove, CA 92840-5310 - Phone
- (714) 530-1566
- Fax
- (714) 530-1592
- NPI assigned
- May 31, 2017
- Organization subpart
- Yes
- Parent organization
- NORTH COUNTY SENIOR SERVICES, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Juvi De Neve
- Title
- Cfo
- Phone
- (949) 757-3773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
11391 Acacia Pkwy
Garden Grove, CA 92840-5310
Mailing address
2515 McCabe Way Ste 200
Irvine, CA 92614-9402
Phone (949) 757-3773
Other names 1
- Acacia Adult Day Services
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0986983 | North County Senior Services, LLC | Certificate of waiver | May 23, 2027 |
National Provider Directory
National Provider Directory- Part of
- North County Senior Services LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Garden Grove, CA
- NPI 1144507914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496188800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1124556592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 MCCABE WAY STE 200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926149402",
"telephone_number": "949-757-3773",
"fax_number": "949-333-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11391 ACACIA PKWY",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405310",
"telephone_number": "714-530-1566",
"fax_number": "714-530-1592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COUNTY SENIOR SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH COUNTY SENIOR SERVICES, LLC",
"enumeration_date": "2017-05-31",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "DE NEVE",
"authorized_official_first_name": "JUVI",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "949-757-3773",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Acacia Adult Day Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Acacia Adult Day Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.