KINCAID SENIOR LIVING INC. (NPI# 1952813016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952813016 |
| Entity Type | Organization |
| Organization Name | KINCAID SENIOR LIVING INC. |
| Other Organization Name | ANAHEIM CROWN PLAZA |
| Practice Address |
641 S Beach Blvd Anaheim CA 92804-3102 |
| Mailing Address |
Po Box 74452 San Clemente CA 92673-0149 |
| Practice Telephone | 7148277007 |
| Practice Fax Number | 7148279637 |
| Mailing Telephone | 7148228878 |
| Mailing Fax Number | 7148279637 |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2017-10-30 |
| Authorized Official Name | KIM N KINCAID (PRESIDENT) |
| Authorized Official Telephone | 7149147226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 306005316 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Anaheim Crown Plaza | Doing Business As Name - Organization |
| Street Address |
641 S BEACH BLVD |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| 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 |
|---|---|---|---|---|
| 1649879420 | Pacifica Sl Anaheim Hills LLC | Assisted Living Facility | 525 S Anaheim Hills Rd, Anaheim, CA 92807-4721 | 2020-10-22 |
| 1174138556 | Rolling Hills Guest Home Inc | Assisted Living Facility | 1406 E Turin Ave, Anaheim, CA 92805-5721 | 2020-09-11 |
| 1225653645 | Blc Nohl Ranch, LLC | Assisted Living Facility | 380 S Anaheim Hills Rd, Anaheim, CA 92807-4026 | 2020-06-11 |
| 1548807084 | Francel Guest Home Inc | Assisted Living Facility | 9441 Houston Ave, Anaheim, CA 92801-1439 | 2019-12-03 |
| 1336785252 | Golden Life Manor | Assisted Living Facility | 507 S Citadell Ln, Anaheim, CA 92806-4204 | 2019-11-26 |
| 1164071916 | Alice Way Homecare Inc | Assisted Living Facility | 211 S Alice Way, Anaheim, CA 92806-4034 | 2019-09-04 |
| 1750945879 | La Palma Villa Inc | Assisted Living Facility | 1418 W La Palma Ave, Anaheim, CA 92801-2818 | 2019-04-24 |
| 1295220499 | Exclusivesenior Care, Inc. | Assisted Living Facility | 6482 E Via Arboles, Anaheim, CA 92807-4219 | 2018-06-29 |
| 1245733526 | Silver Lining Residenital Care | Assisted Living Facility | 1243 N Brookhurst St, Anaheim, CA 92801-1605 | 2018-03-13 |
| 1629426325 | Adeline's Guest Home | Assisted Living Facility | 741 N East St, Anaheim, CA 92805-2134 | 2016-06-03 |
| Find all providers in ANAHEIM | ||||
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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.