Active NPI
For Senior Care , LLC
- Skilled Nursing Facility
- Simi Valley, CA
National Provider Identifier
1477062412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- FOR SENIOR CARE , LLC
- Practice address
- 2333 Yosemite Ave
Simi Valley, CA 93063-3540 - Phone
- (805) 285-7858
- Fax
- (805) 335-6878
- NPI assigned
- Sep 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Dow Perrine
- Title
- Operations Officer
- Phone
- (818) 581-8304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | CA | Primary |
Addresses
Primary practice location
2333 Yosemite Ave
Simi Valley, CA 93063-3540
Mailing address
19808 Ahwanee LN
Porter Ranch, CA 91326-4121
Phone (818) 581-8304
Other names 1
- California Congregate Living
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2156918 | For Senior Care LLC | Certificate of waiver | Oct 25, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505952000000",
"number": "1477062412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19808 AHWANEE LN",
"city": "PORTER RANCH",
"state": "CA",
"postal_code": "913264121",
"telephone_number": "818-581-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 YOSEMITE AVE",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930633540",
"telephone_number": "805-285-7858",
"fax_number": "805-335-6878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOR SENIOR CARE , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-21",
"last_updated": "2017-09-21",
"status": "A",
"authorized_official_last_name": "PERRINE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "DOW",
"authorized_official_title_or_position": "OPERATIONS OFFICER",
"authorized_official_telephone_number": "818-581-8304"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "California Congregate Living",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.