SECROM INC NPI 1083056105

NPI Information

  • NPI: 1083056105
  • Provider Name: SECROM INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: CARSON SENIOR ASSISTED LIVING
  • Address: 345 E CARSON ST
    CARSON, CA
    ZIP 90745
  • Phone: (310) 830-4010

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NPI Details

SECROM INC is an assisted living facility in Carson, 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. SECROM INC NPI is 1083056105. The provider is registered as an organization entity type.
The provider Is Doing Business As Carson Senior Assisted Living.

The provider's business location address is:

345 E CARSON ST
CARSON, CA
ZIP 90745-709
Phone: (310) 830-4010
Fax: (310) 835-3998

The provider's authorized official is Joe Goldman .
The authorized official title is Administrator and has the following contact phone number (310) 830-4010.

The enumeration date for this NPI number is 7/18/2013 and was last updated on 7/18/2013.

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
1310400000XAssisted Living Facility198204950CALIFORNIAYes

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
1278.2604OTHERCALIFORNIA198207950

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: 11/21/2025

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