La Quinta Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LA QUINTA CARE

Practice address

78740 Sanita Dr
La Quinta, CA 92253-6807

Phone

(661) 810-7293

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Lacy Faddoul

Title

Ceo

Phone

(661) 810-7293

Specialties & licenses 1

Addresses

Other names 1

• Pure Hope Care Other name

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1629857065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78740 SANITA DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78740 SANITA DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536807",
            "telephone_number": "661-810-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA QUINTA CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "FADDOUL",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-810-7293"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Hope Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexander Korn, M.D.
• Koushan Siami M D a Professional Corporation
• Thomas James Krisko, PTA
• Kristen Bohnet, DC, Lac, Acupuncture Corporation
• Debra J Kuracina, M.D.
• La Quinta Ear Nose & Throat, Inc.
• La Quinta Kidney Center LLC
• La Quinta Medspa, Inc.
• La Quinta Pharmacy
• La Quinta Surgery Center a Medical Corporation

• Assisted Living Facility in La Quinta, CA
• Providers in La Quinta, 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 Mar 22, 2024; 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.