MK Care Facility LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MK CARE FACILITY LLC

Practice address

3327 Nevada Ave
Costa Mesa, CA 92626-2021

Phone

(714) 819-0629

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Evan Tran

Title

Ceo

Phone

(714) 819-0629

Specialties & licenses 1

Addresses

Other names 1

• Guardian Senior Home on Nevada Doing business as

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1144936865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 NEVADA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262021",
            "telephone_number": "714-819-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 NEVADA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926262021",
            "telephone_number": "714-819-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK CARE FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-819-0629"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Guardian Senior Home on Nevada",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Guardian Senior Home on Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.