Eleonors Place Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELEONORS PLACE INC.

Doing business as

Eleonor's Place 1
Eleonor's Place 2
Eleonor's Place 31 more in Other names

Practice address

24152 Jagger St
Lake Forest, CA 92630-3658

Phone

(949) 547-5377

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Daryll Avendano

Title

Ceo

Phone

(949) 547-5377

Specialties & licenses 1

Addresses

Other names 4

• Eleonor's Place 1 Doing business as
• Eleonor's Place 2 Doing business as
• Eleonor's Place 3 Doing business as
• Eleonor's Place 4 Doing business as

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1407443849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24881 ALICIA PKWY",
            "address_2": "STE E#511",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534617",
            "telephone_number": "949-547-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24152 JAGGER ST",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303658",
            "telephone_number": "949-547-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEONORS PLACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "DARYLL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-547-5377"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eleonor's Place 1",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eleonor's Place 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eleonor's Place 3",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eleonor's Place 4",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lake Forest, CA
• Providers in Lake Forest, 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 Dec 30, 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.