Organization Active NPI

Fallbrook Elderly Care LLC

  • Assisted Living Facility
  • Woodland Hills, CA
National Provider Identifier
1760234231
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FALLBROOK ELDERLY CARE LLC
Doing business as
Fallbrook Elderly Care LLC
Practice address
5515 Fallbrook Ave
Woodland Hills, CA 91367-4327
Phone
(818) 712-0904
NPI assigned
Apr 5, 2024
Last updated
Apr 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Mary Ann Catungal Howe
Title
LLC Member
Phone
(805) 216-9334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5515 Fallbrook Ave
Woodland Hills, CA 91367-4327

Mailing address

5515 Fallbrook Ave
Woodland Hills, CA 91367-4327
Phone (818) 712-0904

Other names 1

  • Fallbrook Elderly Care LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1760234231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 FALLBROOK AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674327",
            "telephone_number": "818-712-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 FALLBROOK AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913674327",
            "telephone_number": "818-712-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLBROOK ELDERLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_middle_name": "CATUNGAL",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "805-216-9334"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fallbrook Elderly Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.