Organization Active NPI

Caremeridian, LLC

  • Skilled Nursing Facility
  • Artesia, CA
National Provider Identifier
1699812420
Registry record updated Mar 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
980001399 Issued in CA
Legal business name
CAREMERIDIAN, LLC
Practice address
17724 Gridley Rd
Artesia, CA 90701-3847
Phone
(562) 865-0806
Fax
(562) 865-6462
NPI assigned
Jan 31, 2007
Last updated
Mar 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2023

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

Authorized official

Name
Brett Ian Cohen
Title
Coo
Phone
(800) 388-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 980001399 CA Primary

Addresses

Primary practice location

17724 Gridley Rd
Artesia, CA 90701-3847

Mailing address

18A Journey
Suite 200
Aliso Viejo, CA 92656-5342
Phone (949) 263-6632

Other identifiers 2

IdentifierTypeStateIssuer
980001399OtherCASTATE DHS LICENSE #
HCB00002FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
California Mentor336 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679184000000",
    "number": "1699812420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18A JOURNEY",
            "address_2": "SUITE 200",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565342",
            "telephone_number": "949-263-6632",
            "fax_number": "949-266-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17724 GRIDLEY RD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013847",
            "telephone_number": "562-865-0806",
            "fax_number": "562-865-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREMERIDIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-03-19",
        "certification_date": "2023-03-19",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "800-388-5150"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "980001399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DHS LICENSE #",
            "identifier": "980001399",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCB00002F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; 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.