Santa Ana Congregate Living, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

SANTA ANA CONGREGATE LIVING, LLC

Practice address

1809 Nancy LN
Santa Ana, CA 92706-2112

Phone

(818) 456-4926

Fax

(310) 919-1616

NPI assigned

Dec 15, 2016

Organization subpart

No

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

Authorized official

Name

Allon Shelly, MBR

Title

Ceo

Phone

(818) 456-4926

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481760000000",
    "number": "1922542653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 NANCY LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062112",
            "telephone_number": "818-456-4926",
            "fax_number": "310-919-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 NANCY LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927062112",
            "telephone_number": "818-456-4926",
            "fax_number": "310-919-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA CONGREGATE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-15",
        "last_updated": "2016-12-15",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "ALLON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-456-4926",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sangamitra Kothapa M D Inc
• Sano Medical Clinic, Inc
• Gillian Marie Sanson
• Santa Ana Clinica Medica General Medical Center Inc.
• Santa Ana College
• Santa Ana Eyecare Optometry
• Santa Ana Family Optometry
• Santa Ana Family Optometry
• Santa Ana Family Optometry
• Santa Ana Health Clinic, LLC

• Nursing Facility/Intermediate Care Facility in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.