Organization Active NPI

LDS Homes LLC

  • Assisted Living Facility
  • Concord, CA
National Provider Identifier
1871282244
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LDS HOMES LLC
Doing business as
Paradise Villa Senior Care
Practice address
836 San Simeon Dr
Concord, CA 94518-2245
Phone
(619) 565-7333
Fax
(925) 483-2595
NPI assigned
May 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Dennis Sayson
Title
Director
Phone
(619) 565-7333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

836 San Simeon Dr
Concord, CA 94518-2245

Mailing address

836 San Simeon Dr
Concord, CA 94518-2245
Phone (619) 565-7333

Other names 1

  • Paradise Villa Senior Care 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": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1871282244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 SAN SIMEON DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182245",
            "telephone_number": "619-565-7333",
            "fax_number": "925-483-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 SAN SIMEON DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945182245",
            "telephone_number": "619-565-7333",
            "fax_number": "925-483-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "SAYSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-565-7333"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Villa Senior Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paradise Villa Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.