Active NPI
Care Options One
- Inpatient Hospice
- Tustin, CA
National Provider Identifier
1831543818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- License
- 6031197740
- Legal business name
- CARE OPTIONS ONE
- Practice address
- 439 Robinson Dr
Tustin, CA 92782-0907 - Phone
- (818) 629-8678
- NPI assigned
- Apr 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel I Imoesiri, B.A.,R.N.A.
- Title
- C.a.Licensed Program Administrator
- Phone
- (818) 629-8678
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 6031197740 | CA | |
| Adult Care Home Facility | 311ZA0620X | 6031197740 | CA | |
| Inpatient Hospice | 315D00000X | 6031197740 | CA | Primary |
| Physical Disabilities Residential Treatment Facility | 320700000X | 6031197740 | CA |
Addresses
Primary practice location
439 Robinson Dr
Tustin, CA 92782-0907
Mailing address
12632 Crossdale Ave
Norwalk, CA 90650-2671
Phone (818) 629-8678
Other names 1
- First Family Trust Senior Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460764800000",
"number": "1831543818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12632 CROSSDALE AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906502671",
"telephone_number": "818-629-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 ROBINSON DR",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927820907",
"telephone_number": "818-629-8678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARE OPTIONS ONE",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-16",
"last_updated": "2016-04-16",
"status": "A",
"authorized_official_last_name": "IMOESIRI",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "C.A.LICENSED PROGRAM ADMINISTRATOR",
"authorized_official_telephone_number": "818-629-8678",
"authorized_official_credential": "B.A.,R.N.A."
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "6031197740",
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "CA",
"license": "6031197740",
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": "CA",
"license": "6031197740",
"primary": true
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "CA",
"license": "6031197740",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Family Trust Senior Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.