SOUTH COUNTY SENIOR SERVICES NPI 1295944155

NPI Information

NPI: 1295944155
Provider Name: SOUTH COUNTY SENIOR SERVICES
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Doing Business As: SOUTH COUNTY ADULT DAY SERVICES
CLIA Number: 05D0985923
Address: 24300 EL TORO RD
BLDG. A
LAGUNA WOODS, CA
ZIP 92637
Phone: (949) 855-9444

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NPI Details

SOUTH COUNTY SENIOR SERVICES is an adult day care clinic center in Laguna Woods, CA. SOUTH COUNTY SENIOR SERVICES NPI is 1295944155. The provider is registered as an organization entity type.
The provider Is Doing Business As South County Adult Day Services.

The provider's business location address is:

24300 EL TORO RD
BLDG. A
LAGUNA WOODS, CA
ZIP 92637-737
Phone: (949) 855-9444
Fax: (949) 855-4093

The provider's authorized official is Jack Walter Light .
The authorized official title is Program Director and has the following contact phone number (949) 855-9444.

The CLIA number assigned to this NPI record is 05D0985923 - other - adult day health care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 8/22/2020.

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	261QA0600X	Clinic/Center	Adult Day Care		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	ADU70085G	MEDICAID	CALIFORNIA

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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