Care Charlize

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARE CHARLIZE

Practice address

17602 Amaganset Way
Tustin, CA 92780-2514

Phone

(714) 368-4659

Fax

(714) 982-3348

NPI assigned

Jan 31, 2024

Last updated

Jan 31, 2024By 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

Marian Mejia

Title

Managing Member

Phone

(949) 394-8708

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1710740022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 CARTHAGE ST",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703004",
            "telephone_number": "949-394-8708",
            "fax_number": "714-982-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17602 AMAGANSET WAY",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802514",
            "telephone_number": "714-368-4659",
            "fax_number": "714-982-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE CHARLIZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MEJIA",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "949-394-8708"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDSS",
            "identifier": "306006306",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsie Brooke Canole
• Daniel Gia-Nang Cao, D.D.S.
• Richard Cao
• Christopher Caovan, NP-C
• Arione D Capolupo, MFT
• Care Options One (First Family Trust Senior Care)
• Care Phoebe
• Caremate Inc
• Careway LLC (1Heart Caregiver Services)
• Kyleigh Carlton

• Assisted Living Facility in Tustin, CA
• Providers in Tustin, 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 31, 2024; 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.