Active NPI
Caroline Armstrong, LVN, ADMINISTRATOR
- Assisted Living Facility
- Redlands, CA
National Provider Identifier
1205493566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 361880724
- Practice address
- 911 Hartzell Ave
Redlands, CA 92374-2523 - Phone
- (909) 792-3835
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 271315 | CA | |
| Respite Care | 385H00000X | 361880724 | CA | |
| Assisted Living Facility | 310400000X | 361880724 | CA | Primary |
Addresses
Primary practice location
911 Hartzell Ave
Redlands, CA 92374-2523
Mailing address
PO Box 539
Mentone, CA 92359-0539
Phone (909) 806-0049
Other practice location 1
1328 Galaxy Dr
Beaumont, CA 92223-3454
Phone (909) 806-0049
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271315 | CA | MD | Licensed Vocational Nurse |
| 361880724 | CA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aa Plus Home | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1205493566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 539",
"city": "MENTONE",
"state": "CA",
"postal_code": "923590539",
"telephone_number": "909-806-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 HARTZELL AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923742523",
"telephone_number": "909-792-3835"
}
],
"practiceLocations": [
{
"address_1": "1328 Galaxy Dr",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "CA",
"postal_code": "922233454",
"country_code": "US",
"telephone_number": "909-806-0049",
"fax_number": "951-381-4035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARMSTRONG",
"first_name": "CAROLINE",
"credential": "LVN, ADMINISTRATOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-22",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "271315",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": "CA",
"license": "361880724",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "361880724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.