Olivia Isabel Manor LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OLIVIA ISABEL MANOR LLC

Practice address

16222 Serenade LN
Huntington Beach, CA 92647-3567

Phone

(858) 337-5674

NPI assigned

Dec 2, 2025

Organization subpart

No

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

Authorized official

Name

Tricia Pedroza

Title

LLC Member

Phone

(858) 337-5674

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764633600000",
    "number": "1831051457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 SERENADE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473567",
            "telephone_number": "858-337-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 SERENADE LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473567",
            "telephone_number": "858-337-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVIA ISABEL MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A",
        "authorized_official_last_name": "PEDROZA",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "858-337-5674"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; 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.