Active NPI
Rancho Mirage Oasis Senior Care LLC
- Assisted Living Facility
- Rancho Mirage, CA
National Provider Identifier
1568269157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- RANCHO MIRAGE OASIS SENIOR CARE LLC
- Practice address
- 102 Clearwater Way
Rancho Mirage, CA 92270-1754 - Phone
- (562) 454-9415
- NPI assigned
- Feb 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frederic Manuel
- Title
- Licensee
- Phone
- (562) 454-9415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
102 Clearwater Way
Rancho Mirage, CA 92270-1754
Mailing address
102 Clearwater Way
Rancho Mirage, CA 92270-1754
Phone (562) 454-9415
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1568269157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CLEARWATER WAY",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701754",
"telephone_number": "562-454-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 CLEARWATER WAY",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701754",
"telephone_number": "562-454-9415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANCHO MIRAGE OASIS SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "MANUEL",
"authorized_official_first_name": "FREDERIC",
"authorized_official_title_or_position": "LICENSEE",
"authorized_official_telephone_number": "562-454-9415"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
- Amberly Ramos
- Rancho Adobe Fire Protection District
- Rancho Las Palmas Chiropractic
- Rancho Mirage Anesthesia Consultants Medical Group Inc
- Rancho Mirage Family Group Inc a Medical Corporation
- Rancho Mirage Optometric Family Eyecare, Inc.
- Rancho Mirage Outpatient Physical Therapy Inc
- Rancho Mirage Pain Associates, Inc.
- Rancho Mirage Pain Center Inc
- Rancho Mirage Pain Management Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.