Orange Senior Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ORANGE SENIOR LIVING, INC.

Practice address

1800 W Culver Ave
Orange, CA 92868-4127

Phone

(714) 978-2534

Fax

(714) 978-1612

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Lee Johnson

Title

Treasurer

Phone

(208) 401-1369

Specialties & licenses 1

Addresses

Other names 1

• Mainplace Senior Living Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1689284580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W CULVER AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684127",
            "telephone_number": "714-978-2534",
            "fax_number": "714-978-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W CULVER AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684127",
            "telephone_number": "714-978-2534",
            "fax_number": "714-978-1612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "208-401-1369"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mainplace Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orange Unified School District
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• Orangewood Children and Family Center - Cast

• Assisted Living Facility in Orange, CA
• Providers in Orange, 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 Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.