3395493 (NPI# 1811468564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811468564 |
| Entity Type | Organization |
| Organization Name | 3395493 |
| Practice Address |
4458 Via Del Valle Yorba Linda CA 92886-3021 |
| Mailing Address |
18340 Yorba Linda Blvd # 443 Yorba Linda CA 92886-4058 |
| Practice Telephone | 7149000694 |
| Practice Fax Number | 7144634403 |
| Mailing Telephone | 7149000694 |
| Mailing Fax Number | 7144634403 |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |
| Authorized Official Name | DORSEY ROSE MARCHELLO (VICE PRESIDENT) |
| Authorized Official Telephone | 7149000694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RCFE | 306004538 | 01 |
| CA | RCFE | 306004719 | 01 |
| Other Name | Type Code |
|---|---|
| St Simon Home | Doing Business As Name - Organization |
| St Simon Home II | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4704 Avenida De Las Flores, Yorba Linda, CA 928862912 | 7149000694 |
| Street Address |
4458 VIA DEL VALLE |
| City | YORBA LINDA |
| State | CA |
| Zip Code | 92886-3021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719323 | Mualla Akdeniz | Technician | 5125 Avocado Cir, Yorba Linda, CA 92886 | 2019-09-13 |
| 1790175651 | Robert Harrison Collier | Ophthalmology | 5377 Via Morena, Yorba Linda, CA 92886 | 2015-01-30 |
| 1013306695 | Henry Hoanh Tran | Occupational Therapist | 4711 Avenida De Las Estell, Yorba Linda, CA 92886 | 2015-01-20 |
| 1750770947 | Cecille Suzette Yu | Registered Nurse | 18080 Imperial Highway, Yorba Linda, CA 92886 | 2015-01-12 |
| 1922439256 | Britni Rodriguez | Acupuncturist | 17866 Ranch Dr, Yorba Linda, CA 92886 | 2013-12-12 |
| 1083048755 | Usura Management Corporation | Durable Medical Equipment & Medical Supplies | 20409 Yorba Linda Blvd, Yorba Linda, CA 92886 | 2013-08-29 |
| 1912215955 | Goretti Kantumbare Macharia | Licensed Vocational Nurse | 16742 Meadowview Dr, Yorba Linda, CA 92886 | 2010-09-23 |
| 1548576929 | Nancee Renee Perez | Dietitian, Registered | 18200 Yorba Linda Boulevard, Suite 401, Yorba Linda, CA 92886 | 2010-08-24 |
| 1366764300 | Marcela Fabiola O'con | Registered Nurse | 4795 Logana Plz, Yorba Linda, CA 92886 | 2010-02-18 |
| 1598996126 | R.e. Mayer, D.d.s., P.C. | Dentist | 2901 E. Katella Avenue, Suite A, Orange, CA 92886 | 2009-07-30 |
| Find all providers in zip 92886 | ||||
| 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 |
|---|---|---|---|---|
| 1952916132 | Carver Senior Homes LLC | Assisted Living Facility | 17581 Shane Way, Yorba Linda, CA 92886-5156 | 2020-09-14 |
| 1720619596 | Sunny Senior Homes | Assisted Living Facility | 4662 School St, Yorba Linda, CA 92886-2440 | 2020-01-30 |
| 1285152629 | Senior Living Community An Eastern Star Home | Assisted Living Facility | 16850 Bastanchury Rd, Yorba Linda, CA 92886-1608 | 2017-09-06 |
| 1275076127 | Good Hands Loving Care | Assisted Living Facility | 18568 Arbor Gate Ln, Yorba Linda, CA 92886-8412 | 2016-11-28 |
| 1235580150 | Agape Cottage, Inc. | Assisted Living Facility | 19982 Avenida Puesta Del Sol, Yorba Linda, CA 92886-2908 | 2016-06-22 |
| 1649523424 | Srz Yorba Linda, LLC | Assisted Living Facility | 4792 Lakeview Ave, Yorba Linda, CA 92886-2464 | 2012-10-18 |
| 1013498013 | St. Luke's Care Center, Inc. | Assisted Living Facility | 27850 Mount Shasta Way, Yorba Linda, CA 92887-4241 | 2018-08-27 |
| 1265913321 | Gse Investments, Incorporated | Assisted Living Facility | 27850 Mount Shasta Way, Yorba Linda, CA 92887-4241 | 2018-08-27 |
| 1639650633 | Berkshire, Incorporated | Assisted Living Facility | 27850 Mount Shasta Way, Yorba Linda, CA 92887-4241 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588165 | Nana's Garden II | Assisted Living Facility | 25312 Ericson Way, Laguna Hills, CA 92653-5054 | 2020-11-03 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1821697434 | Global Regency Senior Care Services, LLC | Assisted Living Facility | 117 E 8th St, Long Beach, CA 90813-4397 | 2020-10-23 |
| 1689273419 | Pacifica Slo LLC | Assisted Living Facility | 475 Marsh St, San Luis Obispo, CA 93401-6108 | 2020-10-22 |
| 1871192682 | Pacifica Sfo LLC | Assisted Living Facility | 624 Laguna St, San Francisco, CA 94102-4217 | 2020-10-22 |
| 1528667367 | Pacifica Sierra Vista Lp | Assisted Living Facility | 13815 Rodeo Dr, Victorville, CA 92395-5600 | 2020-10-22 |
| 1992304737 | West Lyons Lp | Assisted Living Facility | 24305 Lyons Ave, Newhall, CA 91321-2344 | 2020-10-22 |
| 1619576451 | Pacifica Orange County LLC | Assisted Living Facility | 2619 Orange Ave, Costa Mesa, CA 92627-4630 | 2020-10-22 |
| 1720687551 | P San Leandro Lp | Assisted Living Facility | 348 W Juana Ave, San Leandro, CA 94577-3661 | 2020-10-22 |
| 1952900730 | Pacifica Daly LLC | Assisted Living Facility | 995 E Market St, Daly City, CA 94014-2168 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | YORBA LINDA |
| Zip Code | 92886 |
Please comment or provide details below to improve the information on 3395493.
| 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.