Christine Marie LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHRISTINE MARIE LLC

Doing business as

The Beechwood Cottage

Practice address

1608 Beechwood Ave
Fullerton, CA 92835-2149

Phone

(562) 842-7539

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ines Otbo

Title

Administrator

Phone

(562) 842-7539

Specialties & licenses 1

Addresses

Other names 1

• The Beechwood Cottage Doing business as

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": "1427820281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 BEECHWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352149",
            "telephone_number": "562-842-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 BEECHWOOD AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352149",
            "telephone_number": "562-842-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE MARIE 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": "OTBO",
        "authorized_official_first_name": "INES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-842-7539"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Beechwood Cottage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, 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.