The Pageantry Cottage LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE PAGEANTRY COTTAGE LLC

Practice address

125 Pageantry Dr
Placentia, CA 92870-4331

Phone

(714) 504-5371

NPI assigned

Oct 25, 2023

Organization subpart

No

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

Authorized official

Name

Samuel Tamondong

Title

Licensee

Phone

(714) 504-5371

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1407628274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PAGEANTRY DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704331",
            "telephone_number": "714-504-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PAGEANTRY DR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704331",
            "telephone_number": "714-504-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAGEANTRY COTTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "TAMONDONG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-504-5371"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Placentia, CA
• Providers in Placentia, 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 Oct 25, 2023; 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.