Mission Viejo Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306001586 Issued in CA

Legal business name

MISSION VIEJO ASSISTED LIVING LLC

Practice address

27783 Center Drive
Mission Viejo, CA 92692-3603

Phone

(949) 364-6210

Fax

(503) 485-1279

NPI assigned

May 2, 2007

Organization subpart

No

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

Authorized official

Name

Jon M Harder

Title

Manager

Phone

(503) 375-9016

Specialties & licenses 2

Addresses

Other names 1

• Paragon Gardens Assisted Living & Memory Care Community Doing business as

Locations

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1194947226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-375-9016",
            "fax_number": "503-485-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27783 CENTER DRIVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926923603",
            "telephone_number": "949-364-6210",
            "fax_number": "503-485-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION VIEJO ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-375-9016"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306001586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Gardens Assisted Living & Memory Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mission Trauma Surgical Medical GRP
• Mission Viejo Dental Associates
• Mission Viejo Emergency Medical Associates
• Mission Viejo Endoscopy Partners, LLC
• Mission Viejo Family Medical Center
• Mission Viejo Modern Dentistry, Prof. Corp.

• Assisted Living Facility in Mission Viejo, CA
• Providers in Mission Viejo, 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 Jul 14, 2008; 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.