Organization Active NPI

North County Senior Services, LLC

  • Adult Day Care Clinic/Center
  • Garden Grove, CA
National Provider Identifier
1124556592
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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)CodeLicenseStatePrimary
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 Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0986983North County Senior Services, LLC11391 Acacia Prkwy, Garden Grove, CA 92840Certificate of waiverMay 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.

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.

Verify at the official NPI Registry.