South County Senior Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

SOUTH COUNTY SENIOR SERVICES

Practice address

24300 El Toro Rd
BLDG. a
Laguna Woods, CA 92637-2737

Phone

(949) 855-9444

Fax

(949) 855-4093

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jack Walter Light, LCSW

Title

Program Director

Phone

(949) 855-9444

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South County Adult Day Services Doing business as

Tax ID family

Age Well Senior Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Age Well Senior Services, Inc

  • Voluntary or Charitable Agency
  • Laguna Woods, CA
  • NPI 1891077624
  NPD tax ID

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295944155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24300 EL TORO RD",
            "address_2": "BLDG. A",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372737",
            "telephone_number": "949-855-9444",
            "fax_number": "949-855-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24300 EL TORO RD",
            "address_2": "BLDG. A",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372737",
            "telephone_number": "949-855-9444",
            "fax_number": "949-855-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY SENIOR SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "949-855-9444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADU70085G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South County Adult Day Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Socal Senior Services, LLC
• Klay Ryan Solomon, DPT
• Wendy Kay Sorensen, BIRTH DOULA
• South County Orthopedic Specialists
• South County Orthopedic Specialists
• Spectrum Psychology Inc.
• Stuart B Spencer Sr., HAD
• Stuart Brandon Spencer Jr., HAD
• Scott A Stephan, PA
• Aleksey Stugarev

• Adult Day Care Clinic/Center in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Adult Day Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.