Active NPI
Senior Assisted Living at Vintage Reserve LLC
- Assisted Living Facility
- Murrieta, CA
National Provider Identifier
1629869128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.