Organization Active NPI

Front Porch Communities Operating Group, LLC

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1194130005
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
197608482 Issued in CA
Legal business name
FRONT PORCH COMMUNITIES OPERATING GROUP, LLC
Practice address
1055 N Kingsley Dr
Los Angeles, CA 90029-1207
Phone
(323) 661-1128
Fax
(323) 661-4121
NPI assigned
Jun 30, 2014
Organization subpart
Yes
Parent organization
FRONT PORCH COMMUNITIES AND SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Roberta Jacobsen
Title
President
Phone
(818) 729-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 197608482 CA Primary

Addresses

Primary practice location

1055 N Kingsley Dr
Los Angeles, CA 90029-1207

Mailing address

800 N Brand Blvd
19TH Floor
Glendale, CA 91203-1245
Phone (818) 254-4100

Other names 1

  • Kingsley Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Claremont Manor Care Center4 organizations share this tax ID, including this one
Part of
Front Porch Communities and Services

Other organizations with this tax ID 3

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": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1194130005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N BRAND BLVD",
            "address_2": "19TH FLOOR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031245",
            "telephone_number": "818-254-4100",
            "fax_number": "818-254-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291207",
            "telephone_number": "323-661-1128",
            "fax_number": "323-661-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PORCH COMMUNITIES OPERATING GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRONT PORCH COMMUNITIES AND SERVICES",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-729-8100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197608482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.