Mobar Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197609023 Issued in CA

Legal business name

MOBAR CARE

Doing business as

Primrose Senior Care Home

Practice address

8107 De Soto Ave
Canoga Park, CA 91304-4301

Phone

(323) 387-2755

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mubeen Naimuddin

Title

Owner/Administrator

Phone

(323) 387-2755

Specialties & licenses 1

Addresses

Other names 1

• Primrose Senior Care Home Doing business as

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1326584475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18636 CELTIC ST",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913262708",
            "telephone_number": "323-387-2755",
            "fax_number": "818-280-6938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8107 DE SOTO AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913044301",
            "telephone_number": "323-387-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBAR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "NAIMUDDIN",
        "authorized_official_first_name": "MUBEEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-387-2755",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197609023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primrose Senior Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Canoga Park, CA
• Providers in Canoga Park, 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 Jan 13, 2017; 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.