SCOTT MACH ENTERPRISES (NPI# 1134784879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134784879 |
| Entity Type | Organization |
| Organization Name | SCOTT MACH ENTERPRISES |
| Practice Address |
23235 Cavanaugh Road Lake Forest CA 92630 |
| Practice Telephone | 9497161516 |
| Mailing Telephone | 9497161516 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | MR. SCOTT MARIO MACH (CEO) |
| Authorized Official Telephone | 9493097383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Freedom Springs Manor | Doing Business As Name - Organization |
| Street Address |
23235 CAVANAUGH ROAD |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| 1316495112 | Elizabeth Ga Yeun Kim | Dentist | 22611 Lake Forest Dr Ste C5, Lake Forest, CA 92630 | 2016-09-21 |
| Find all providers in zip 92630 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740826163 | Special Request LLC | Custodial Care Facility | 18821 Carlton Ave, Castro Valley, CA 94546-2907 | 2019-11-20 |
| 1336799170 | Sierra Care At The Lake,llc | Custodial Care Facility | 648 W Sierra Ave, Clovis, CA 93612-0151 | 2019-09-13 |
| 1558825133 | Calrecup Care, Inc | Custodial Care Facility | 10510 S Vermont Ave, Los Angeles, CA 90044-3022 | 2019-01-28 |
| 1083185474 | Ray Joanne Leyva | Custodial Care Facility | 15617 Red Oak Way, Victorville, CA 92394-3228 | 2018-12-10 |
| 1760965081 | W.p.r. LLC | Custodial Care Facility | 2733 Country Club Blvd Apt 87, Stockton, CA 95204-3975 | 2018-09-12 |
| 1730674342 | Harbor Recuperative Care LLC | Custodial Care Facility | 11134 Sepulveda Blvd, Mission Hills, CA 91345-1114 | 2018-06-26 |
| 1548778152 | Sk Marathon Home Care | Custodial Care Facility | 7246 Fallbrook Ave, West Hills, CA 91307 | 2018-01-17 |
| 1386176808 | Mickey Iliescu | Custodial Care Facility | 7125 Main Ave, Orangevale, CA 95662-2813 | 2017-04-03 |
| 1013454289 | A Caring Heart Residence, Inc. | Custodial Care Facility | 371 E Millan St, Chula Vista, CA 91910-6313 | 2017-01-26 |
| 1134666456 | Silver Soul Chronicles, Inc. | Custodial Care Facility | 10212 Malinda Ln, Garden Grove, CA 92840-2918 | 2017-01-24 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on SCOTT MACH ENTERPRISES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.