Senior Manor Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SENIOR MANOR CARE, INC.

Practice address

2011 Santa Rena Dr.,
Rancho Palos Verdes, CA 90275

Phone

(310) 514-1702

NPI assigned

Aug 28, 2021

Organization subpart

No

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

Authorized official

Name

Angelique Gradney

Title

Owner

Phone

(310) 989-1941

Specialties & licenses 1

Addresses

Other names 1

• SENIOR MANOR CARE Doing business as

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630108800000",
    "number": "1396412102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 SANTA RENA DR.,",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "90275",
            "telephone_number": "310-514-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 SANTA RENA DR.,",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "90275",
            "telephone_number": "310-514-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR MANOR CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A",
        "authorized_official_last_name": "GRADNEY",
        "authorized_official_first_name": "ANGELIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-989-1941"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SENIOR MANOR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Marie Sardisco, LMFT
• Alyssa Sato, COTA
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• Steve Schneir
• Rosemond Seligson, OTR,ATP
• Norma Serina, R.N.
• Bahareh Seyed Mahmoud
• Ashley Shaheri, DDS
• Shawn Lee and Manoranjani Sambangi Dental Corporation
• Noha M Shehata, O.D.

• Assisted Living Facility in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, 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 Aug 28, 2021; 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.