NPIMap

Organization Active NPI

Crown Manor Campillos

  • Assisted Living Facility
  • La Mirada, CA
National Provider Identifier
1447968474
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CROWN MANOR CAMPILLOS
Practice address
15327 Campillos Rd
La Mirada, CA 90638-4001
Phone
(714) 743-7516
NPI assigned
Nov 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Authorized official

Name
Kevin Bim
Title
Licensee
Phone
(714) 743-7516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

15327 Campillos Rd
La Mirada, CA 90638-4001

Mailing address

15327 Campillos Rd
La Mirada, CA 90638-4001
Phone (714) 743-7516

National Provider Directory

National Provider Directory
Tax ID family
Crown Manor Campillos2 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.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667865600000",
    "number": "1447968474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15327 CAMPILLOS RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384001",
            "telephone_number": "714-743-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15327 CAMPILLOS RD",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384001",
            "telephone_number": "714-743-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN MANOR CAMPILLOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "BIM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-743-7516"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.