Leisure Care Home Care Agency, Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

C-2616981 Issued in CA

Legal business name

LEISURE CARE HOME CARE AGENCY, INC

Practice address

30131 Town Center Dr
Suite 205
Laguna Niguel, CA 92677-2034

Phone

(949) 363-7401

Fax

(949) 363-7419

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By 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. Trevor L Blackann

Title

President

Phone

(949) 363-7401

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1174861108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 205",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-363-7401",
            "fax_number": "949-363-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30131 TOWN CENTER DR",
            "address_2": "SUITE 205",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772034",
            "telephone_number": "949-363-7401",
            "fax_number": "949-363-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE CARE HOME CARE AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "BLACKANN",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-363-7401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "C-2616981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen C Lee
• Jenny Lee
• Joseph Lee
• Michael Lee, O.D.
• Susan Jung Lee, M.D.
• Leisure Care Referral Agency, Inc
• Lenore M. Sikorski M.D., Inc.
• Lenore Sikorski, M.D., Inc. (Natural Image Cosmetic Surgery and Laser Dermatology Center)
• Cecilia Lentz, OTR/L
• Marc Wesley Lenzen, O. D

• Adult Care Home Facility in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.