Care Blue Water

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARE BLUE WATER

Doing business as

Maryknoll Senior Care

Practice address

531 Whitten Way
Placentia, CA 92870-2226

Phone

(805) 836-1556

NPI assigned

Jul 11, 2019

Last updated

Jul 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frances Amanda Umali

Title

Licensee/ Administrator

Phone

(805) 836-1556

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maryknoll Senior Care Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1932751781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VACAVILLE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020916",
            "telephone_number": "805-836-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WHITTEN WAY",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702226",
            "telephone_number": "805-836-1556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BLUE WATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "UMALI",
        "authorized_official_first_name": "FRANCES AMANDA",
        "authorized_official_title_or_position": "LICENSEE/ ADMINISTRATOR",
        "authorized_official_telephone_number": "805-836-1556"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "30605633",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mandy_umali@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "531 Whitten Way",
            "city": "Placentia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928702226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Maryknoll Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Linda Carlson, MFT

• Assisted Living Facility in Placentia, CA
• Providers in Placentia, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.