Blue Jasmine Villa Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306004805 Issued in CA

Legal business name

BLUE JASMINE VILLA INC

Practice address

18 Sequoia Tree LN
Irvine, CA 92612-2244

Phone

(949) 350-2338

NPI assigned

Jun 15, 2016

Last updated

Nov 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kaveh Chavoshpour

Title

Ceo

Phone

(949) 350-2338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1164872636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SEQUOIA TREE LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122244",
            "telephone_number": "949-350-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SEQUOIA TREE LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122244",
            "telephone_number": "949-350-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE JASMINE VILLA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "CHAVOSHPOUR",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-350-2338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306004805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Irvine, CA
• Providers in Irvine, 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 Nov 18, 2016; 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.