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VERSA CARE HOME LLC NPI 1366982050


NPI Information

NPI: 1366982050
Provider Name: VERSA CARE HOME, LLC

Doing Business As: VERSA CARE HOME 1

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1576 E SPRUCE ST
PLACENTIA, CA
ZIP 92870
Phone: (714) 801-5208
Get Directions

VERSA CARE HOME, LLC is an assisted living facility in Placentia, 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. VERSA CARE HOME, LLC NPI is 1366982050. The provider is registered as an organization entity type.
The provider Is Doing Business As Versa Care Home 1.

The provider's business location address is:

1576 E SPRUCE ST
PLACENTIA, CA
ZIP 92870-406
Phone: (714) 801-5208
Fax: (714) 646-9217

The provider's authorized official is Cecily Regine Aguila .
The authorized official title is Administrator and has the following contact phone number (714) 801-5208.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility306004198CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1306004198OTHERCALIFORNIADEPARTMENT OF SOCIAL SERVICES CCLD

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

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