NPIMap

Organization Active NPI

Caremeridian, LLC

Doing business as Neurorestorative

  • Skilled Nursing Facility
  • Santa Ana, CA
National Provider Identifier
1518289461
Registry record updated Aug 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
060000874 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Doing business as
Neurorestorative
Practice address
18792 E 17TH St
Santa Ana, CA 92705-2815
Phone
(714) 832-1060
Fax
(714) 832-1061
NPI assigned
Feb 19, 2010
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
(617) 588-5251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 060000874 CA Primary

Addresses

Primary practice location

18792 E 17TH St
Santa Ana, CA 92705-2815

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
060000874OtherCACDPH LICENSE #

Other names 1

  • Neurorestorative 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
05D2319733Caremeridian18792E 17TH St, Santa Ana, CA 92705Certificate of waiverMar 5, 2027

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": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1518289461",
    "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": "18792 E 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052815",
            "telephone_number": "714-832-1060",
            "fax_number": "714-832-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIONAL MENTOR HEALTHCARE, LLC",
        "enumeration_date": "2010-02-19",
        "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": "617-588-5251",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "060000874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPH LICENSE #",
            "identifier": "060000874",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurorestorative",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, 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.
  • 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.