Organization Active NPI

Prospect Senior Living, Inc.

  • Assisted Living Facility
  • Orange, CA
National Provider Identifier
1740750165
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PROSPECT SENIOR LIVING, INC.
Practice address
142 S Prospect St
Orange, CA 92869-3842
Phone
(714) 639-3590
NPI assigned
Nov 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X

Addresses

Primary practice location

142 S Prospect St
Orange, CA 92869-3842

Mailing address

142 S Prospect St
Orange, CA 92869-3842
Phone (714) 639-3590

Other names 1

  • Citrus Hills Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2207117Citrus Hills Assisted Living142 South Prospect St, Orange, CA 92869Certificate of waiverDec 22, 2026

National Provider Directory

National Provider Directory

Locations

850 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 301-8500

NPI Registry JSON

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1740750165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 S PROSPECT ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693842",
            "telephone_number": "714-639-3590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 S PROSPECT ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693842",
            "telephone_number": "714-639-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECT SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citrus Hills Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Citrus Hills Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.