Organization Active NPI

Aquamarine Retirement Home Care LLC

  • Assisted Living Facility
  • Lancaster, CA
National Provider Identifier
1396691275
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AQUAMARINE RETIREMENT HOME CARE LLC
Practice address
6523 W Avenue L7
Lancaster, CA 93536-4549
Phone
(661) 418-0715
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Glennard Tiu
Title
Administrator
Phone
(661) 418-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6523 W Avenue L7
Lancaster, CA 93536-4549

Mailing address

6523 W Avenue L7
Lancaster, CA 93536-4549

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1396691275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6523 W AVENUE L7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 W AVENUE L7",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935364549",
            "telephone_number": "661-418-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AQUAMARINE RETIREMENT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "GLENNARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "661-418-0715"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.