Organization Active NPI

Triple K Senior Services, Inc.

  • Assisted Living Facility
  • Lake Forest, CA
National Provider Identifier
1154176154
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TRIPLE K SENIOR SERVICES, INC.
Practice address
23565 Duryea Dr
Lake Forest, CA 92630-3747
Phone
(949) 278-7307
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Mrs. Rizalina Sangalang Reyes, RCP
Title
Ceo/Administrator/Licensee
Phone
(949) 278-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

23565 Duryea Dr
Lake Forest, CA 92630-3747

Mailing address

23565 Duryea Dr
Lake Forest, CA 92630-3747
Phone (949) 278-7307

Other practice location 1

25182 Campo Rojo
Lake Forest, CA 92630-4210
Phone (949) 581-7049

Other names 1

  • The Patchwork Quilt Guest Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Patchwork Quilt Guest Homes II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1154176154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23565 DURYEA DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303747",
            "telephone_number": "949-278-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23565 DURYEA DR",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303747",
            "telephone_number": "949-278-7307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25182 Campo Rojo",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "CA",
            "postal_code": "926304210",
            "country_code": "US",
            "telephone_number": "949-581-7049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIPLE K SENIOR SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "RIZALINA",
        "authorized_official_middle_name": "SANGALANG",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "949-278-7307",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Patchwork Quilt Guest Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.