PHV 1 Rcfe LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PHV 1 RCFE LLC

Practice address

1300 N Wanda Rd
Orange, CA 92867-5327

Phone

(714) 519-5878

NPI assigned

Feb 12, 2025

Organization subpart

No

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

Authorized official

Name

Joel Lacson

Title

Licensee

Phone

(714) 519-5878

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1245045426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N WANDA RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675327",
            "telephone_number": "714-519-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N WANDA RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928675327",
            "telephone_number": "714-519-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHV 1 RCFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "LACSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-519-5878"
    },
    "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 Orange, CA
• Providers in Orange, 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 Feb 12, 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.