Tonyrose Ventures LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TONYROSE VENTURES LLC

Doing business as

A Faithful Home of Rossmoor

Practice address

2851 Bostonian Dr
Rossmoor, CA 90720-4442

Phone

(714) 300-8055

NPI assigned

Jan 3, 2025

Last updated

Jan 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Kholoma

Title

Administrator

Phone

(714) 300-8055

Specialties & licenses 1

Addresses

Other names 1

• A FAITHFUL HOME OF ROSSMOOR Doing business as

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

{
    "created_epoch": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1679382691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6669 VIA RIVIERA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204120",
            "telephone_number": "714-300-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 BOSTONIAN DR",
            "city": "ROSSMOOR",
            "state": "CA",
            "postal_code": "907204442",
            "telephone_number": "714-300-8055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6192 Kimberly Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926472414",
            "country_code": "US",
            "telephone_number": "714-300-8055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TONYROSE VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "KHOLOMA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-300-8055"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A FAITHFUL HOME OF ROSSMOOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail Lynch, PTA
• Zina Rhee, MA CCC-SLP
• SC Medical Supply Inc
• Andrew Stanitsas, D.O.
• Claire Sullivan
• Olivia C Winarko, M.D.

• Assisted Living Facility in Rossmoor, CA
• Providers in Rossmoor, 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 Jan 3, 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.