Kincaid Senior Living Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

306005316 Issued in CA

Legal business name

KINCAID SENIOR LIVING INC.

Practice address

641 S Beach Blvd
Anaheim, CA 92804-3102

Phone

(714) 827-7007

Fax

(714) 827-9637

NPI assigned

Oct 30, 2017

Organization subpart

No

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

Authorized official

Name

Kim N Kincaid

Title

President

Phone

(714) 914-7226

Specialties & licenses 1

Addresses

Other names 1

• Anaheim Crown Plaza Doing business as

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1952813016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74452",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926730149",
            "telephone_number": "714-822-8878",
            "fax_number": "714-827-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043102",
            "telephone_number": "714-827-7007",
            "fax_number": "714-827-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINCAID SENIOR LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-914-7226"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "306005316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Crown Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yurim Kim
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• Kimberly N. Pham. DMD. Inc.
• Edward L Kimmel, OD
• Kind Heart Hospice and Palliative Care Incorporated
• Alethia Kindle
• King Palace Service Inc.
• Caelan King, M.S., ATC
• Carol King, NP

• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, 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 Oct 30, 2017; 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.