Organization Active NPI

For Senior Care , LLC

  • Skilled Nursing Facility
  • Simi Valley, CA
National Provider Identifier
1477062412
Registry record updated Sep 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Sep 21, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2156918For Senior Care LLC2333 Yosemite Ave, Simi Valley, CA 93063Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.