NPIMap

Organization Active NPI

Fountain Valley Senior Homes LLC

Doing business as Fountain Valley Senior Homes 2

  • Assisted Living Facility
  • Fountain Valley, CA
National Provider Identifier
1609431998
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FOUNTAIN VALLEY SENIOR HOMES LLC
Doing business as
Fountain Valley Senior Homes 2
Practice address
18561 Santa Isadora St
Fountain Valley, CA 92708-6212
Phone
(949) 290-6006
Fax
(714) 982-3433
NPI assigned
May 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Mr. Uldarico Almiranez
Title
Administrator
Phone
(949) 290-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

18561 Santa Isadora St
Fountain Valley, CA 92708-6212

Mailing address

1123 Sandi LN
Costa Mesa, CA 92627-3964
Phone (949) 290-6006

Other practice location 1

8925 Canary Ave
Fountain Valley, CA 92708-6324
Phone (949) 290-6006

Other practice location 2

17690 San Vicente St
Fountain Valley, CA 92708-5261
Phone (949) 290-6006

Other identifiers 1

IdentifierTypeStateIssuer
306005475OtherCADEPT OF SOCIAL SERVICES CCLD

Other names 1

  • Fountain Valley Senior Homes 2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fountain Valley Senior Homes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1609431998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SANDI LN",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273964",
            "telephone_number": "949-290-6006",
            "fax_number": "714-982-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18561 SANTA ISADORA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086212",
            "telephone_number": "949-290-6006",
            "fax_number": "714-982-3433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8925 Canary Ave",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086324",
            "country_code": "US",
            "telephone_number": "949-290-6006",
            "fax_number": "714-982-3433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17690 San Vicente St",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927085261",
            "country_code": "US",
            "telephone_number": "949-290-6006",
            "fax_number": "714-982-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY SENIOR HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALMIRANEZ",
        "authorized_official_first_name": "ULDARICO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-290-6006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF SOCIAL SERVICES CCLD",
            "identifier": "306005475",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fountain Valley Senior Homes 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.