Villa Regina 2

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

VILLA REGINA 2

Practice address

24182 Adonis St
Mission Viejo, CA 92691-3814

Phone

(949) 295-3555

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By 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

Brigitte Fisk

Title

Administrator/Owner

Phone

(949) 295-3555

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1689276982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24182 ADONIS ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913814",
            "telephone_number": "949-295-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24182 ADONIS ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913814",
            "telephone_number": "949-295-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA REGINA 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "BRIGITTE",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "949-295-3555"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.