NPIMap

Organization Active NPI

Fountain Valley Senior Homes LLC

Doing business as Fountain Valley Senior Homes

  • Assisted Living Facility
  • Fountain Valley, CA
National Provider Identifier
1790325439
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
FOUNTAIN VALLEY SENIOR HOMES LLC
Doing business as
Fountain Valley Senior Homes
Practice address
18561 Santa Isadora St
Fountain Valley, CA 92708-6212
Phone
(657) 464-9805
NPI assigned
Jan 10, 2020
Last updated
Jan 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
FOUNTAIN VALLEY SENIOR HOMES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Authorized official

Name
Uldarico Banagan Almiranez
Title
Administrator
Phone
(949) 290-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

18561 Santa Isadora St
Fountain Valley, CA 92708-6212

Mailing address

18561 Santa Isadora St
Fountain Valley, CA 92708-6212
Phone (657) 464-9805

Other identifiers 1

IdentifierTypeStateIssuer
306005441OtherCACCLD

Other names 1

  • Fountain Valley Senior Homes Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ricoalmiranez@hotmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Fountain Valley Senior Homes LLC2 organizations share this tax ID, including this one
Part of
Fountain Valley Senior Homes LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578614400000",
    "number": "1790325439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18561 SANTA ISADORA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086212",
            "telephone_number": "657-464-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18561 SANTA ISADORA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086212",
            "telephone_number": "657-464-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VALLEY SENIOR HOMES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNTAIN VALLEY SENIOR HOMES LLC",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A",
        "authorized_official_last_name": "ALMIRANEZ",
        "authorized_official_first_name": "ULDARICO",
        "authorized_official_middle_name": "BANAGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "949-290-6006"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005441",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ricoalmiranez@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "18561 Santa Isadora St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927086212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fountain Valley Senior Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.