Newport Congregate Living

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

NEWPORT CONGREGATE LIVING

Practice address

466 E 16TH St
Costa Mesa, CA 92627-3266

Phone

(714) 679-0457

NPI assigned

Aug 24, 2022

Organization subpart

No

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

Authorized official

Name

Mirela Andronesi

Title

Administrator

Phone

(714) 679-0457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1851010755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18791 MURIEL PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927052844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 E 16TH ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273266",
            "telephone_number": "714-679-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT CONGREGATE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "ANDRONESI",
        "authorized_official_first_name": "MIRELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-679-0457"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.