K Prime Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

K PRIME HOME LLC

Practice address

24302 Bark St
Lake Forest, CA 92630-5227

Phone

(949) 462-0250

Fax

(949) 462-0250

NPI assigned

May 29, 2023

Organization subpart

Yes

Parent organization

K PRIME HOME LLCAs reported in NPPES

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

Authorized official

Name

Mary Jean B Catacutan

Title

Licensee

Phone

(949) 677-3394

Specialties & licenses 1

Addresses

Other names 1

• AK AND DAVID SENIOR CARE Doing business as

Part of

K Prime Home LLC

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685318400000",
    "number": "1811680648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 BARK ST",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305227",
            "telephone_number": "949-462-0250",
            "fax_number": "949-462-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 BARK ST",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926305227",
            "telephone_number": "949-462-0250",
            "fax_number": "949-462-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K PRIME HOME LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K PRIME HOME LLC",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-29",
        "status": "A",
        "authorized_official_last_name": "CATACUTAN",
        "authorized_official_first_name": "MARY JEAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "949-677-3394"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AK AND DAVID SENIOR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary C Jones, D.D.S.
• Jones, Kellen Kirsch Professional Corp.
• Joann Jorgenson, PT
• Jowee Corporation
• Julie Ann Claveria, M.D., Inc., a Professional Medical Corporation
• Kaelas Home for Elderly
• Kaelas Home for Elderly 2
• Alyssa Kallestad
• Gabriella Kamara, APCC
• Alson Keoni Kanahele, DC, CSCS

• Assisted Living Facility in Lake Forest, CA
• Providers in Lake Forest, 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 May 29, 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.