Signature Resident Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SIGNATURE RESIDENT CARE

Doing business as

Signature Resident Care

Practice address

25002 Sausalito St
Laguna Hills, CA 92653-5629

Phone

(949) 510-5968

Fax

(949) 325-0930

NPI assigned

Nov 2, 2024

Organization subpart

No

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

Authorized official

Name

Kolaleh Faris

Title

President

Phone

(949) 510-5968

Specialties & licenses 1

Addresses

Other names 1

• Signature Resident Care Doing business as

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730505600000",
    "number": "1255154860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25002 SAUSALITO ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535629",
            "telephone_number": "949-510-5968",
            "fax_number": "949-325-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25002 SAUSALITO ST",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535629",
            "telephone_number": "949-510-5968",
            "fax_number": "949-325-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE RESIDENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A",
        "authorized_official_last_name": "FARIS",
        "authorized_official_first_name": "KOLALEH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-510-5968"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Resident Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manish Prasad Shrestha, M.D.
• Siamak Nabili, M.D., Inc.
• Eric Siedenburg, M.D
• Tracy Ann Siegfried, M.D.
• Carmen Sarahi Sierra-Torres
• Jessie Silahian, PHARM.D.
• Silva & Cardenas Inc.
• Silva & Cardenas Inc.
• Kathryn Joanne Morin Silva, LCSW
• Robert Steve Silva, ABO OPTICIAN

• Assisted Living Facility in Laguna Hills, CA
• Providers in Laguna Hills, 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 Nov 2, 2024; 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.