Organization Active NPI

Senior Assisted Living at Vintage Reserve LLC

  • Assisted Living Facility
  • Murrieta, CA
National Provider Identifier
1629869128
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
SENIOR ASSISTED LIVING AT VINTAGE RESERVE LLC
Practice address
40147 Grenache CT
Murrieta, CA 92563-4310
Phone
(951) 600-9930
NPI assigned
May 14, 2025
Last updated
May 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Authorized official

Name
Maribel Barroso
Title
Licensee
Phone
(951) 600-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

40147 Grenache CT
Murrieta, CA 92563-4310

Mailing address

40147 Grenache CT
Murrieta, CA 92563-4310
Phone (951) 600-9930

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1629869128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40147 GRENACHE CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634310",
            "telephone_number": "951-600-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40147 GRENACHE CT",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634310",
            "telephone_number": "951-600-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR ASSISTED LIVING AT VINTAGE RESERVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "951-600-9930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.