Select Senior Care III LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SELECT SENIOR CARE III LLC

Practice address

9542 Sailfish Dr
Huntington Beach, CA 92646-2818

Phone

(909) 358-1209

NPI assigned

May 5, 2023

Organization subpart

No

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

Authorized official

Name

Daniel Datcu

Title

Licnesee

Phone

(909) 358-1209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683244800000",
    "number": "1619666492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9542 SAILFISH DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462818",
            "telephone_number": "909-358-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9542 SAILFISH DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926462818",
            "telephone_number": "909-358-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SENIOR CARE III LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A",
        "authorized_official_last_name": "DATCU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "LICNESEE",
        "authorized_official_telephone_number": "909-358-1209"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Bottoms Secor, OD
• Jasmine Sedaghati, PA-C
• Roxanne Lee Segroves, RN
• Janay Emily Sekhon, O.D
• Select CS Physical Therapy, P.C.
• Selective Diagnostics Inc
• Judith Morisha Selker-Adams, B.S.;M.ED
• Serena T Ta Dental Corporation
• Jose L Serrano, DC, DACBR.
• Alejandra Serrato

• Assisted Living Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.