CAREMERIDIAN, LLC (NPI# 1134584824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134584824 |
Entity Type | Organization |
Organization Name | CAREMERIDIAN, LLC |
Other Organization Name | CAREMERIDIAN - WINWAYS |
Practice Address |
7732 E Santiago Canyon Rd Orange CA 92869-1829 |
Mailing Address |
163 Technology Dr Ste 200 Irvine CA 92618-2486 |
Practice Telephone | 7147715276 |
Practice Fax Number | 7147711452 |
Mailing Telephone | 9497940787 |
Mailing Fax Number | 9492610457 |
Enumeration Date | 2015-12-22 |
Last Update Date | 2019-08-18 |
Authorized Official Name | MR. SEAN SHEA (DIRECTOR OF FINANCE) |
Authorized Official Telephone | 6176885251 |
Is Organization Subpart | Y |
Parent Organization Name | NATIONAL MENTOR HEALTHCARE, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
306004785 | CA | Ambulatory Health Care Facilities |
Y | 320700000X | Residential Treatment Facility, Physical Disabilities | 306004784 | CA | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | LICENSE NUMBER - ADULT RESIDENTIAL | 306004784 | 01 |
CA | LICENSE NUMBER - ADULT DAY CARE | 306004785 | 01 |
Other Name | Type Code |
---|---|
CareMeridian - Winways | Doing Business As Name - Organization |
Neurorestorative | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255976973 | Caremeridian, LLC | Residential Treatment Facility, Physical Disabilities | 2301 W Campbell Rd, Garland, TX 75044-2846 | 2019-11-18 |
1518437698 | Caremeridian, LLC | Clinic/Center | 1136 Puente Ave, San Dimas, CA 91773-4414 | 2018-11-30 |
1407357247 | Caremeridian, LLC | Skilled Nursing Facility | 3980 Lake Placid Dr, Reno, NV 89511-6702 | 2018-02-27 |
1609306091 | Caremeridian, LLC | Skilled Nursing Facility | 13747 S Redwood Rd, Riverton, UT 84065-5710 | 2017-06-18 |
1114452729 | Caremeridian, LLC | Assisted Living Facility | 1255 W Chula Vista Rd, Tucson, AZ 85704-3036 | 2017-04-21 |
1982022869 | Caremeridian, LLC | Skilled Nursing Facility | 10339 Oso Ave, Chatsworth, CA 91311-2542 | 2014-03-28 |
1689097487 | Caremeridian, LLC | Skilled Nursing Facility | 9440 Texhoma Ave, Northridge, CA 91325-2333 | 2014-01-29 |
1235404674 | Caremeridian, LLC | Skilled Nursing Facility | 5640 Aztec Dr, La Mesa, CA 91942-1948 | 2012-03-19 |
1497020093 | Caremeridian, LLC | Skilled Nursing Facility | 5945 S Wright St, Littleton, CO 80127-4603 | 2012-03-14 |
1669758736 | Caremeridian, LLC | Skilled Nursing Facility | 10035 Oso Ave, Chatsworth, CA 91311-3944 | 2011-11-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | CareMeridian, LLC | 313 Congress St., 5th Floor, Boston, MA 02210 |
Street Address |
7732 E SANTIAGO CANYON RD |
City | ORANGE |
State | CA |
Zip Code | 92869-1829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518022979 | Interface Environments, Inc. | Clinic/Center | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2006-12-26 |
1902139082 | Newport Rehabilitation Agency | Residential Treatment Facility, Physical Disabilities | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2009-09-08 |
1033313929 | Cherie Brown | Physical Therapist | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2007-06-13 |
1700080983 | Diane Sue Wolf | Speech-Language Pathologist | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2007-06-12 |
1972707156 | Patricia Lee Shiokari | Occupational Therapy Assistant | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2007-06-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790346401 | Artistic Smiles Dentistry | Clinic/Center | 2606 E. Chapman Ave., Orange, CA 92869 | 2019-06-24 |
1093233215 | Christine Wright | Physical Therapist | 406 S. Schug St, Orange, CA 92869 | 2017-09-07 |
1972025534 | Theresa M. Nakagawa | Marriage & Family Therapist | 7926 E. Deerfield Ln, Orange, CA 92869 | 2017-07-14 |
1679955801 | Lisa Moore | Nurse Anesthetist, Certified Registered | 1481 Meads, Orange, CA 92869 | 2015-06-24 |
1679960165 | Matthew Rivera | Specialist/Technologist | 360 N Rancho Santiago Blvd, Orange, CA 92869 | 2015-04-22 |
1780014183 | Sanaz Shahbandi | Dentist | 6449 East Saint Germain Cir., Orange, CA 92869 | 2013-11-21 |
1285973727 | Howard Leonard Rothfeder | Ophthalmology | 1567 Willow Wood Circle, Orange, CA 92869 | 2013-02-04 |
1730462409 | Luke Meier | Psychologist | 148 N Mine Canyon Rd Unit E, Orange, CA 92869 | 2011-09-20 |
1275825150 | S. La Verne Eng | Obstetrics & Gynecology | 351 Merelet Ln, Orange, CA 92869 | 2011-05-10 |
1497047757 | Eui San Cha | Internal Medicine | 2501 E Chapman Ave Ste 300, Orange, CA 92869 | 2011-05-05 |
Find all providers in zip 92869 |
Taxonomy Code | 320700000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Physical Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902139082 | Newport Rehabilitation Agency | Residential Treatment Facility, Physical Disabilities | 7732 E Santiago Canyon Rd, Orange, CA 92869-1829 | 2009-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881217974 | At Awe LLC | Residential Treatment Facility, Physical Disabilities | 10876 Morning Ridge Dr, Moreno Valley, CA 92557-4202 | 2020-05-22 |
1558980896 | Viewcrest Congregate Living | Residential Treatment Facility, Physical Disabilities | 7831 Melita Ave, North Hollywood, CA 91605-1820 | 2020-04-15 |
1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
1518515618 | Dashonia Shaw | Residential Treatment Facility, Physical Disabilities | 3053 N Delno Ave, Fresno, CA 93705-4015 | 2019-08-31 |
1114572385 | Twet, LLC | Residential Treatment Facility, Physical Disabilities | 1682 Daybreak Pl, Escondido, CA 92027-1023 | 2019-08-05 |
1144873308 | Resurgence California, LLC | Residential Treatment Facility, Physical Disabilities | 3129 Pierce Ave, Costa Mesa, CA 92626-2827 | 2019-07-17 |
1891352019 | Mountain View Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 9001 Riderwood Dr, Sunland, CA 91040-2628 | 2019-05-22 |
1174014153 | Fresno Congregate Living Inc | Residential Treatment Facility, Physical Disabilities | 3110 E Sierra Ave, Fresno, CA 93710-5917 | 2018-05-24 |
1871090803 | Prestige Care Center | Residential Treatment Facility, Physical Disabilities | 474 Sunday Dr, Turlock, CA 95382-9625 | 2018-04-06 |
1699281584 | Derani Congregate Living, Inc. | Residential Treatment Facility, Physical Disabilities | 7344 Etiwanda Ave, Reseda, CA 91335-3103 | 2017-12-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.