NPIMap

Organization Active NPI

Care Options One

Doing business as First Family Trust Senior Care

  • Inpatient Hospice
  • Tustin, CA
National Provider Identifier
1831543818
Registry record updated Apr 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
License
6031197740 Issued in CA
Legal business name
CARE OPTIONS ONE
Doing business as
First Family Trust Senior Care
Practice address
439 Robinson Dr
Tustin, CA 92782-0907
Phone
(818) 629-8678
NPI assigned
Apr 16, 2016
Last updated
Apr 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2016

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.NPI 1427441567
Title
C.a.Licensed Program Administrator
Phone
(818) 629-8678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI 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.

Verify at the official NPI Registry.