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PACIFIC SUNRISE HOME INC. NPI 1508239351


NPI Information

NPI: 1508239351
Provider Name: PACIFIC SUNRISE HOME INC.

Doing Business As: PACIFIC SUNRISE HOME 2

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
28122 LOMO DR
RANCHO PALOS VERDES, CA
ZIP 90275
Phone: (424) 777-8602
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PACIFIC SUNRISE HOME INC. is an assisted living facility in Rancho Palos Verdes, 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. PACIFIC SUNRISE HOME INC. NPI is 1508239351. The provider is registered as an organization entity type.
The provider Is Doing Business As Pacific Sunrise Home 2.

The provider's business location address is:

28122 LOMO DR
RANCHO PALOS VERDES, CA
ZIP 90275-226
Phone: (424) 777-8602
Fax: (424) 206-9069

The provider's authorized official is Maria Loida Cantoria .
The authorized official title is Administrator and has the following contact phone number (310) 500-7223.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility197608243CALIFORNIAYes

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
1197608243OTHERCALIFORNIADEPARTMENT OF SOCIAL SERVICES

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: 4/28/2024

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