PROSPECT SENIOR LIVING INC. NPI 1740750165

NPI Information

  • NPI: 1740750165
  • Provider Name: PROSPECT SENIOR LIVING, INC.
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • :
  • CLIA Number: 05D2207117
  • Address: 142 S PROSPECT ST
    ORANGE, CA
    ZIP 92869
  • Phone: (714) 639-3590

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NPI Details

PROSPECT SENIOR LIVING, INC. is an assisted living facility in Orange, 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. PROSPECT SENIOR LIVING, INC. NPI is 1740750165. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

142 S PROSPECT ST
ORANGE, CA
ZIP 92869-842
Phone: (714) 639-3590

The provider's authorized official is Amber L Tueller .
The authorized official title is Secretary and has the following contact phone number (208) 207-2726.

The CLIA number assigned to this NPI record is 05D2207117 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2018 and was last updated on 6/11/2025.

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
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessNo
2310400000XAssisted Living FacilityYes

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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