NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Granite Bay, CA
National Provider Identifier
1487815825
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
550000722 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
7150 Sierra Ponds LN
Granite Bay, CA 95746-7346
Phone
(916) 772-2990
Fax
(973) 772-2968
NPI assigned
Jun 18, 2008
Last updated
Aug 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
NATIONAL MENTOR HEALTHCARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2019

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

Authorized official

Name
Mr. Sean Shea
Title
Director of Finance
Phone
(949) 794-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 550000722 CA Primary

Addresses

Primary practice location

7150 Sierra Ponds LN
Granite Bay, CA 95746-7346

Mailing address

163 Technology Dr Ste 200
Irvine, CA 92618-2486
Phone (949) 794-0787

Other identifiers 1

IdentifierTypeStateIssuer
550000722OtherCACDPH-CALIFORNIA

Other names 2

  • Neurorestorative Doing business as
  • National Mentor Healthcare, LLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Caremeridian LLC40 organizations share this tax ID, including this one
Part of
California Mentor

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1487815825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 TECHNOLOGY DR STE 200",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182486",
            "telephone_number": "949-794-0787",
            "fax_number": "949-261-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 SIERRA PONDS LN",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957467346",
            "telephone_number": "916-772-2990",
            "fax_number": "973-772-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2008-06-18",
        "last_updated": "2019-08-18",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "949-794-0787",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550000722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH-CALIFORNIA",
            "identifier": "550000722",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "National Mentor Healthcare, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Granite Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.