NPIMap

Organization Active NPI

Seville Circle Inc.

Doing business as LeBleu Chateau Gold

  • Alzheimer Center (Dementia Center)
  • Burbank, CA
National Provider Identifier
1417333998
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
Legal business name
SEVILLE CIRCLE INC.
Doing business as
LeBleu Chateau Gold
Practice address
1911 Grismer Ave
Burbank, CA 91504
Phone
(818) 295-2727
Fax
(818) 843-2780
NPI assigned
Aug 6, 2015
Last updated
Aug 6, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SEVILLE CIRCLE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Authorized official

Name
Mr. Raul Parrado
Title
Licensee/Administrator
Phone
(714) 496-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X
Alzheimer Center (Dementia Center) 311500000X Primary

Addresses

Primary practice location

1911 Grismer Ave
Burbank, CA 91504

Mailing address

1911 Grismer Ave
Burbank, CA 91504
Phone (818) 295-2727

Other names 1

  • LeBleu Chateau Gold Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seville Circle Inc4 organizations share this tax ID, including this one
Part of
Seville Circle Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1417333998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 GRISMER AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-295-2727",
            "fax_number": "818-843-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 GRISMER AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91504",
            "telephone_number": "818-295-2727",
            "fax_number": "818-843-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVILLE CIRCLE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEVILLE CIRCLE INC.",
        "enumeration_date": "2015-08-06",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "PARRADO",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "714-496-1630",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBleu Chateau Gold",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.