Organization Active NPI

CK Community Care LLC

  • Assisted Living Facility
  • Huntington Beach, CA
National Provider Identifier
1467274423
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CK COMMUNITY CARE LLC
Practice address
21322 Antigua LN
Huntington Beach, CA 92646-7013
Phone
(714) 819-0629
NPI assigned
Oct 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
VI CHI Luu
Title
Cfo
Phone
(714) 819-0629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

21322 Antigua LN
Huntington Beach, CA 92646-7013

Mailing address

21322 Antigua LN
Huntington Beach, CA 92646-7013
Phone (714) 819-0629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1467274423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21322 ANTIGUA LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467013",
            "telephone_number": "714-819-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21322 ANTIGUA LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926467013",
            "telephone_number": "714-819-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "VI",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "714-819-0629"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.