Foreversonya LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FOREVERSONYA LLC

Practice address

11602 Garden Dr
Garden Grove, CA 92840-1555

Phone

(714) 737-9457

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yousef Fakhouri

Title

Licensee

Phone

(714) 737-9457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1477313351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6552 CRESCENT AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906203752",
            "telephone_number": "714-737-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11602 GARDEN DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928401555",
            "telephone_number": "714-737-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVERSONYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "FAKHOURI",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "714-737-9457"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Garden Grove, CA
• Providers in Garden Grove, 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 Mar 19, 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.