Organization Active NPI

Wildomar Senior Partners II L.P.

  • Assisted Living Facility
  • Wildomar, CA
National Provider Identifier
1689971954
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
336407346 Issued in CA
Legal business name
WILDOMAR SENIOR PARTNERS II L.P.
Practice address
32365 S Pasadena
Assisted Living
Wildomar, CA 92595-9551
Phone
(951) 678-1555
Fax
(951) 678-1249
NPI assigned
Feb 22, 2011
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Mr. William Craig Thralls
Title
Ceo
Phone
(951) 678-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 336407346 CA Primary

Addresses

Primary practice location

32365 S Pasadena
Assisted Living
Wildomar, CA 92595-9551

Mailing address

PO Box 740
Wildomar, CA 92595-0740
Phone (951) 678-1555

Other names 1

  • Wildomar Senior Assisted Living Facility Other name

National Provider Directory

National Provider Directory

Locations

32365 S Pasadena
Wildomar, CA 92595
Phone (949) 533-6242

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1689971954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925950740",
            "telephone_number": "951-678-1555",
            "fax_number": "951-678-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32365 S PASADENA",
            "address_2": "ASSISTED LIVING",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959551",
            "telephone_number": "951-678-1555",
            "fax_number": "951-678-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDOMAR SENIOR PARTNERS II L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "THRALLS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-678-1555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "336407346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildomar Senior Assisted Living Facility",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.