SONG OF PHOENIX NPI 1740668490

NPI Information

NPI: 1740668490
Provider Name: SONG OF PHOENIX
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
22302 HALLDALE AVE
TORRANCE, CA
ZIP 90501
Phone: (310) 320-5350
Get Directions

SONG OF PHOENIX is an assisted living facility in Torrance, CA. The provider is 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. SONG OF PHOENIX NPI is 1740668490. The provider is registered as an organization entity type.

The provider's business location address is:

22302 HALLDALE AVE
TORRANCE, CA
ZIP 90501-232
Phone: (310) 320-5350
Fax: (310) 320-5350

The provider's authorized official is Roger Brito .
The authorized official title is Administrator and has the following contact phone number (424) 376-8931.

The enumeration date for this NPI number is 5/14/2015 and was last updated on 5/14/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		197607370	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1976077370	OTHER	CALIFORNIA	RCFE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »