CAMBRIDGE COURT (NPI# 1669843629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669843629 |
| Entity Type | Organization |
| Organization Name | CAMBRIDGE COURT |
| Other Organization Name | SHAL MANAGEMENT |
| Practice Address |
1621 E Commonwealth Ave Fullerton CA 92831-4027 |
| Practice Telephone | 7149921750 |
| Mailing Telephone | 7149921750 |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |
| Authorized Official Name | MISS AMANDA CHRISTINA STONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7149921750 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 306004761 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| SHAL Management | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CAMBRIDGE COURT APARTMENTS | 1201 E 13th St, Fort Worth, TX 76102-5764 |
| Oklahoma Business Registrations | CAMBRIDGE COURT APARTMENTS, LP | 1730 E Republic Rd, Suite F, Springfield, MO 65804 |
| Virginia Business Entities | CAMBRIDGE COURT ASSOCIATES LIMITED PARTNERSHIP | 1220 Old Columbia Rd Ste M, Columbia, Maryland 21046 |
| Washington State Corporations | CAMBRIDGE COURT CONDOMINIUM ASSOCIATION | 1661 Harbor Ave Sw Ste 100, Seattle, WA 98126-2084 |
| Oregon Corporations, Companies and Business Names | CAMBRIDGE COURT CONDOMINIUM ASSOCIATION | 1250 Nw 23rd St #21, Corvallis, OR 97330 |
| Oklahoma Business Registrations | CAMBRIDGE COURT DEVELOPMENT, LLC | 1730 E. Republic Road, Suite F, Springfield, MO 65804 |
| Oklahoma Business Registrations | CAMBRIDGE COURT HOUSING, LLC | 1730 E. Republic Road, Suite F, Springfield, MO 65804 |
| Virginia Business Entities | CAMBRIDGE COURT LLC | 84 Brookdale Dr, Williamsville, New York 14221 |
| New York State Corporations | CAMBRIDGE COURT LLC | 84 Brookdale Drive, Williamsville, Ny 14221 |
| Washington State Corporations | CAMBRIDGE COURT LLC | 1911 65th Ave W, Tacoma, WA 98466 |
| Street Address |
1621 E COMMONWEALTH AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| 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 |
|---|---|---|---|---|
| 1245839315 | Prime Senior Care Homes L.l.c | Assisted Living Facility | 1857 Sheddon St, Fullerton, CA 92833-5659 | 2020-10-20 |
| 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 |
| 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.