Organization Active NPI

Cerritos Residence Care Inc.

Doing business as Comfort Care Home

  • Assisted Living Facility
  • Cerritos, CA
National Provider Identifier
1528735677
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CERRITOS RESIDENCE CARE INC.
Doing business as
Comfort Care Home
Practice address
13548 Reva PL
Cerritos, CA 90703-8921
Phone
(714) 778-3949
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
CERRITOS RESIDENCE CARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Peter Nora
Title
Owner
Phone
(714) 778-3949

Specialties & licenses 1

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

Addresses

Primary practice location

13548 Reva PL
Cerritos, CA 90703-8921

Mailing address

13548 Reva PL
Cerritos, CA 90703-8921
Phone (714) 778-3949

Other names 1

  • Comfort Care Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cerritos Residence Care Inc2 organizations share this tax ID, including this one
Part of
Cerritos Residence Care Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1528735677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13548 REVA PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038921",
            "telephone_number": "714-778-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13548 REVA PL",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907038921",
            "telephone_number": "714-778-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRITOS RESIDENCE CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CERRITOS RESIDENCE CARE INC",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "NORA",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-778-3949"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comfort Care Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cerritos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.