PROSPECT SENIOR LIVING, INC. (NPI# 1740750165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740750165 |
| Entity Type | Organization |
| Organization Name | PROSPECT SENIOR LIVING, INC. |
| Other Organization Name | CITRUS HILLS ASSISTED LIVING |
| Practice Address |
142 S Prospect St Orange CA 92869-3842 |
| Practice Telephone | 7146393590 |
| Mailing Telephone | 7146393590 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | LEE JOHNSON (TREASURER) |
| Authorized Official Telephone | 2084011369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Citrus Hills Assisted Living | Doing Business As Name - Organization |
| Street Address |
142 S PROSPECT ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92869-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790346401 | Artistic Smiles Dentistry | Clinic/Center | 2606 E. Chapman Ave., Orange, CA 92869 | 2019-06-24 |
| 1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
| 1972025534 | Theresa M. Nakagawa | Marriage & Family Therapist | 7926 E. Deerfield Ln, Orange, CA 92869 | 2017-07-14 |
| 1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
| 1679960165 | Matthew Rivera | Specialist/Technologist | 360 N Rancho Santiago Blvd, Orange, CA 92869 | 2015-04-22 |
| 1780014183 | Sanaz Shahbandi | Dentist | 6449 East Saint Germain Cir., Orange, CA 92869 | 2013-11-21 |
| 1285973727 | Howard Leonard Rothfeder | Ophthalmology | 1567 Willow Wood Circle, Orange, CA 92869 | 2013-02-04 |
| 1730462409 | Luke Meier | Psychologist | 148 N Mine Canyon Rd Unit E, Orange, CA 92869 | 2011-09-20 |
| 1275825150 | S. La Verne Eng | Obstetrics & Gynecology | 351 Merelet Ln, Orange, CA 92869 | 2011-05-10 |
| 1497047757 | Eui San Cha | Internal Medicine | 2501 E Chapman Ave Ste 300, Orange, CA 92869 | 2011-05-05 |
| Find all providers in zip 92869 | ||||
| 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 |
|---|---|---|---|---|
| 1366049207 | Touch of Care Assisted Living | Assisted Living Facility | 885 S Esplanade St, Orange, CA 92869-5311 | 2020-10-05 |
| 1689284580 | Orange Senior Living, Inc. | Assisted Living Facility | 1800 W Culver Ave, Orange, CA 92868-4127 | 2020-08-05 |
| 1932721255 | Bichvan Thuy Dinh | Assisted Living Facility | 139 S Lincoln St, Orange, CA 92866-2235 | 2020-05-08 |
| 1114558772 | Care Jeselle | Assisted Living Facility | 2438 E Parkside Ave, Orange, CA 92867-4042 | 2020-01-31 |
| 1164073052 | Gracious Care Homes Inc. | Assisted Living Facility | 4110 E Jordan Ave, Orange, CA 92869-5429 | 2019-09-23 |
| 1326577941 | Above All Care Facility, LLC | Assisted Living Facility | 479 S Wellington Rd, Orange, CA 92869-4731 | 2017-06-07 |
| 1659707685 | Maplewood At Orange | Assisted Living Facility | 245 Indian River Rd, Orange, CT 06477-3634 | 2013-09-23 |
| 1609105394 | Summerville At Cobbco, Inc. | Assisted Living Facility | 142 S Prospect St, Orange, CA 92869-3842 | 2009-12-09 |
| 1952427403 | Assisted Living Concepts Inc | Assisted Living Facility | 5301 Meeks Drive, Orange, TX 77630 | 2007-03-22 |
| 1801367479 | Care Juliet LLC | Assisted Living Facility | 479 S Wellington Rd, Orange, CA 92869-4731 | 2018-12-07 |
| Find all providers in ORANGE | ||||
Please comment or provide details below to improve the information on PROSPECT SENIOR LIVING, INC..
| 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.