NPIMap

Organization Active NPI

Front Porch Communities and Services

Doing business as Kingsley Manor

  • Assisted Living Facility
  • Los Angeles, CA
National Provider Identifier
1518639723
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FRONT PORCH COMMUNITIES AND SERVICES
Doing business as
Kingsley Manor
Practice address
1055 N Kingsley Dr
Los Angeles, CA 90029-1207
Phone
(323) 661-1128
Fax
(323) 660-4091
NPI assigned
Oct 5, 2021
Last updated
Oct 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Authorized official

Name
Grant Edelstone
Title
Sr. Dir. Risk Management
Phone
(925) 956-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1055 N Kingsley Dr
Los Angeles, CA 90029-1207

Mailing address

2185 N California Blvd Ste 215
Walnut Creek, CA 94596-3566
Phone (925) 956-7360

Other identifiers 1

IdentifierTypeStateIssuer
197608482OtherCACA DEPARTMENT OF SOCIAL SERVICES

Other names 1

  • Kingsley Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Front Porch Communities and Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1518639723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 N CALIFORNIA BLVD STE 215",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963566",
            "telephone_number": "925-956-7360",
            "fax_number": "925-956-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291207",
            "telephone_number": "323-661-1128",
            "fax_number": "323-660-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONT PORCH COMMUNITIES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "EDELSTONE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "SR. DIR. RISK MANAGEMENT",
        "authorized_official_telephone_number": "925-956-7360"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPARTMENT OF SOCIAL SERVICES",
            "identifier": "197608482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingsley Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.