Kairos Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

KAIROS MANAGEMENT

Doing business as

Acacia Villas

Practice address

1621 E. Chapman Ave
Fullerton, CA 92831

Phone

(714) 879-0920

Fax

(714) 879-0722

NPI assigned

Dec 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda Christina Stone

Title

Executive Director

Phone

(714) 879-0929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Acacia Villas Doing business as

Tax ID family

Acacia Villas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Cambridge Court

  • Assisted Living Facility
  • Fullerton, CA
  • NPI 1669843629
  NPD tax ID

Locations

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

{
    "created_epoch": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1447625090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E. CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-879-0920",
            "fax_number": "714-879-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E. CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "92831",
            "telephone_number": "714-879-0920",
            "fax_number": "714-879-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-879-0929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA COMMUNITY CARE LICENSING DIVISION, DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "306004749",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acacia Villas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juniper Villa Inc. (Juniper Villa)
• Karlyle Ponce Jureidini, DPT
• Allison D Jurisch
• Paulo Narvaez Jusay, MSN, ACNP, APRN,BC
• K&Y Acupuncture
• Kenneth Burton Kaisch, PH.D.
• Jigneshkumar Kakadiya, PHYSICAL THERAPIST
• Jeffery Hitoshi Kaku, O.D.
• Gunjeet K Kala Ahluwalia, M.D.
• Scott Kambak, M.A.

• 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 Dec 8, 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.