PRIME SENIOR CARE HOMES L.L.C (NPI# 1245839315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245839315 |
| Entity Type | Organization |
| Organization Name | PRIME SENIOR CARE HOMES L.L.C |
| Practice Address |
1857 Sheddon St Fullerton CA 92833-5659 |
| Practice Telephone | 7148693532 |
| Practice Fax Number | 7148693532 |
| Mailing Telephone | 7148693532 |
| Mailing Fax Number | 7148693532 |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2020-10-20 |
| Authorized Official Name | MRS. MARYAM F SHARIFI (ADMINISTRATOR/LICENSEE) |
| Authorized Official Telephone | 9494851376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Avalon Guest Home I | Doing Business As Name - Organization |
| Street Address |
1857 SHEDDON ST |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-5659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026060 | Harmony Care Corporation | Assisted Living Facility | 2751 E Chapman Ave Ste 208, Fullerton, CA 92831-3713 | 2020-09-07 |
| 1043820434 | Jc Cottages LLC | Assisted Living Facility | 1013 Hollydale Dr, Fullerton, CA 92831-2820 | 2020-07-31 |
| 1457702375 | Agape Cottage, Inc. | Assisted Living Facility | 864 N Ford Ave, Fullerton, CA 92832-1261 | 2016-06-22 |
| 1174979561 | Index Investments Inc Dba Fullerton Res Manor | Assisted Living Facility | 2441 W Orangethorpe Ave, Fullerton, CA 92833-4201 | 2016-05-04 |
| 1841665262 | Vass Senior Care | Assisted Living Facility | 2528 W Oak Ave, Fullerton, CA 92833-3115 | 2015-12-10 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1669843629 | Cambridge Court | Assisted Living Facility | 1621 E Commonwealth Ave, Fullerton, CA 92831-4027 | 2015-10-15 |
| 1356625370 | Valley View Assisted Living LLC | Assisted Living Facility | 915 7th St, Fullerton, NE 68638-3093 | 2011-10-10 |
| 1972594463 | Core Care V A Ca Limited | Assisted Living Facility | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2005-11-02 |
| 1518575562 | Serenity Care Health We | Assisted Living Facility | 317 N Richman Ave, Fullerton, CA 92832-1101 | 2020-07-15 |
| Find all providers in FULLERTON | ||||
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| 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.