Carver Senior Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CARVER SENIOR HOMES LLC

Doing business as

Carver Senior Homes 2

Practice address

17581 Shane Way
Yorba Linda, CA 92886-5156

Phone

(714) 401-2689

NPI assigned

Sep 14, 2020

Last updated

Sep 14, 2020By 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

Virgilio De Guzman

Title

Managing Member

Phone

(714) 401-2689

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carver Senior Homes 2 Doing business as

Tax ID family

Carver Senior Homes 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carver Senior Homes LLC

  dba Carver Senior Homes 1

  • Assisted Living Facility
  • Placentia, CA
  • NPI 1841805025
  NPD tax ID

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600041600000",
    "number": "1952916132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17581 SHANE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865156",
            "telephone_number": "714-401-2689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17581 SHANE WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928865156",
            "telephone_number": "714-401-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARVER SENIOR HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "714-401-2689"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCLD",
            "identifier": "306005639",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carver Senior Homes 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clarice P Chan, M.D.
• Cecilia Chang, M.D.

• Assisted Living Facility in Yorba Linda, CA
• Providers in Yorba Linda, 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 Sep 14, 2020; 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.