Organization Active NPI

Flamingo Senior Services LLC

  • Custodial Care Facility
  • Castro Valley, CA
National Provider Identifier
1821834755
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
FLAMINGO SENIOR SERVICES LLC
Doing business as
Flamingo Assisted Living
Practice address
18825 Carlton Ave
Castro Valley, CA 94546-2907
Phone
(510) 292-8610
NPI assigned
Jul 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Authorized official

Name
Samuel Alin Tet
Title
LLC Member
Phone
(510) 292-8610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

18825 Carlton Ave
Castro Valley, CA 94546-2907

Mailing address

18821 Carlton Ave
Castro Valley, CA 94546-2907
Phone (510) 292-8610

Other names 1

  • Flamingo Assisted Living Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1821834755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18821 CARLTON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462907",
            "telephone_number": "510-292-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18825 CARLTON AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945462907",
            "telephone_number": "510-292-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAMINGO SENIOR SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "TET",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "ALIN",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "510-292-8610"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flamingo Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.