NPIMap

Organization Active NPI

Caremeridian, LLC

  • Skilled Nursing Facility
  • Chatsworth, CA
National Provider Identifier
1265601991
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550000665 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Practice address
20621 Mayall St
Chatsworth, CA 91311-3110
Phone
(818) 886-7928
NPI assigned
Feb 27, 2008
Last updated
Oct 21, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Mrs. Crystal Dawn Immerman
Title
Manager of Administration
Phone
(949) 263-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550000665 CA Primary

Addresses

Primary practice location

20621 Mayall St
Chatsworth, CA 91311-3110

Mailing address

18-A Journey
Suite 200
Alisa Viejo, CA 92656-5342
Phone (949) 263-6632

Other names 1

  • National Mentor Healthcare, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian40 organizations share this tax ID, including this one
Part of
National Mentor Healthcare

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1265601991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-A JOURNEY",
            "address_2": "SUITE 200",
            "city": "ALISA VIEJO",
            "state": "CA",
            "postal_code": "926565342",
            "telephone_number": "949-263-6632",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20621 MAYALL ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113110",
            "telephone_number": "818-886-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2008-02-27",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "IMMERMAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "MANAGER OF ADMINISTRATION",
        "authorized_official_telephone_number": "949-263-6632",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550000665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.