NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Santa Ana, CA
National Provider Identifier
1326185208
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000270 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
10631 Cowan Heights Dr
Santa Ana, CA 92705-1558
Phone
(714) 731-7263
Fax
(714) 731-0133
NPI assigned
Jan 31, 2007
Last updated
Aug 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

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

Authorized official

Name
Mr. Sean Shea
Title
Director of Finance
Phone
(617) 688-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060000270 CA Primary

Addresses

Primary practice location

10631 Cowan Heights Dr
Santa Ana, CA 92705-1558

Mailing address

163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 263-6632

Other identifiers 2

IdentifierTypeStateIssuer
HCB00009FOtherCAMEDI-CAL
060000270OtherCADHS STATE LICENSE

Other names 2

  • Neurorestorative Doing business as
  • National Mentor Healthcare, LLC Former legal business 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

Locations

2390 Sir Francis Drake Blvd
Fairfax, CA 94930
Phone (415) 256-8007

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566000000000",
    "number": "1326185208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TECHNOLOGY DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182486",
            "telephone_number": "949-263-6632",
            "fax_number": "949-266-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 COWAN HEIGHTS DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927051558",
            "telephone_number": "714-731-7263",
            "fax_number": "714-731-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-08-17",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "617-688-5251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "HCB00009F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS STATE LICENSE",
            "identifier": "060000270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.