NPIMap

Organization Active NPI

Premier Senior Care Group Corporation

  • Assisted Living Facility
  • Fremont, CA
National Provider Identifier
1972323459
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
PREMIER SENIOR CARE GROUP CORPORATION
Practice address
38801 Hastings St
Fremont, CA 94536-6176
Phone
(510) 792-5411
Fax
(510) 792-7173
NPI assigned
Oct 10, 2024
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Judith Morales
Title
Corporate Secretary
Phone
(510) 792-5411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

38801 Hastings St
Fremont, CA 94536-6176

Mailing address

38801 Hastings St
Fremont, CA 94536-6176
Phone (510) 792-5411

National Provider Directory

National Provider Directory
Tax ID family
Premier Senior Care Group Corporation2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1972323459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38801 HASTINGS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366176",
            "telephone_number": "510-792-5411",
            "fax_number": "510-792-7173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38801 HASTINGS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366176",
            "telephone_number": "510-792-5411",
            "fax_number": "510-792-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SENIOR CARE GROUP CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "510-792-5411"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.