PH Senior Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PH SENIOR CARE LLC

Doing business as

Pleasant Hill Manor

Practice address

40 Boyd Rd
Pleasant Hill, CA 94523-3707

Phone

(925) 286-5727

Fax

(925) 932-3060

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Liza Jay Elegado

Title

Executive Director

Phone

(925) 464-3891

Specialties & licenses 1

Addresses

Other names 1

• Pleasant Hill Manor Doing business as

Locations

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1801672605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BOYD RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233707",
            "telephone_number": "925-286-5727",
            "fax_number": "925-932-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BOYD RD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945233707",
            "telephone_number": "925-286-5727",
            "fax_number": "925-932-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PH SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ELEGADO",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-464-3891"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Hill Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lolice Perez
• Ricardo M. Perez, D.D.S.
• Jackie Lennett Peterson, RD CDCES
• Christopher Alan Petrush, D.D.S.
• Kristine Kelli Pettersson-Rosenbusch, M.A., LMFT
• Daniel Pham
• Son Ngoc Pham, D.D.S.
• Stephanie Marie Phillips, FNP
• Pia Briones DDS Inc
• Karissa Pivirotto-Britton, MS, PPS, LEP

• Assisted Living Facility in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Sep 6, 2023; 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.