Trihaven Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TRIHAVEN ASSISTED LIVING

Practice address

3650 Randee Way
Fullerton, CA 92833-2830

Phone

(714) 425-0445

NPI assigned

Oct 22, 2025

Organization subpart

No

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

Authorized official

Name

Amr Abdelfattah Fattah

Title

Administrator

Phone

(714) 425-0445

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1619844636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 RANDEE WAY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332830",
            "telephone_number": "714-425-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 RANDEE WAY",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332830",
            "telephone_number": "714-425-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIHAVEN ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "FATTAH",
        "authorized_official_first_name": "AMR ABDELFATTAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-425-0445"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fullerton, CA
• Providers in Fullerton, 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 Oct 22, 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.

Verify at the official NPI Registry.