Beverly Residential Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BEVERLY RESIDENTIAL CARE LLC

Practice address

9771 Beverly LN
Garden Grove, CA 92841-3835

Phone

(714) 300-4540

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Kevin Dino Hieu Dinh

Title

Licensee

Phone

(714) 300-4540

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1235948134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9771 BEVERLY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413835",
            "telephone_number": "714-300-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9771 BEVERLY LN",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413835",
            "telephone_number": "714-300-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-05",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "KEVIN DINO",
        "authorized_official_middle_name": "HIEU",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-300-4540"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Garden Grove, CA
• Providers in Garden Grove, 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 Jan 6, 2025; 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.