Active NPI
Prospect Senior Living, Inc.
- Assisted Living Facility
- Orange, CA
National Provider Identifier
1740750165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2207117 | Citrus Hills Assisted Living | Certificate of waiver | Dec 22, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.