The Living Room - Senior Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE LIVING ROOM - SENIOR SERVICES

Practice address

9828 Valle Vista Rd
Phelan, CA 92371-8431

Phone

(760) 983-5909

NPI assigned

Jun 25, 2019

Organization subpart

No

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

Authorized official

Name

Sondra Cradduck, BA - GERONTOLOGY

Title

Owner / Director

Phone

(760) 983-5909

Specialties & licenses 1

Addresses

Other names 1

• The Living Room - Senior Home Care Doing business as

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1245891761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 VALLE VISTA RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718431",
            "telephone_number": "760-983-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 VALLE VISTA RD",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923718431",
            "telephone_number": "760-983-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING ROOM - SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CRADDUCK",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_title_or_position": "OWNER / DIRECTOR",
        "authorized_official_telephone_number": "760-983-5909",
        "authorized_official_credential": "BA - GERONTOLOGY"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Living Room - Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.