KAIROS MANAGEMENT (NPI# 1447625090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447625090 |
| Entity Type | Organization |
| Organization Name | KAIROS MANAGEMENT |
| Other Organization Name | ACACIA VILLAS |
| Practice Address |
1621 E. Chapman Ave Fullerton CA 92831 |
| Practice Telephone | 7148790920 |
| Practice Fax Number | 7148790722 |
| Mailing Telephone | 7148790920 |
| Mailing Fax Number | 7148790722 |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |
| Authorized Official Name | MRS. AMANDA CHRISTINA STONE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7148790929 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA COMMUNITY CARE LICENSING DIVISION, DEPARTMENT OF SOCI | 306004749 | 01 |
| Other Name | Type Code |
|---|---|
| Acacia Villas | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Kairos Management | 3225 Mcleod Dr, Suite 100, Las Vegas, NV 89121 |
| Colorado Business Entities | Kairos Management LLC | 870 South Colorado Blvd., Glendale, CO 80246 |
| North Carolina Corporations | Kairos Management Systems L.L.C. | 4030 Wake Forest Road Ste 349, Raleigh, NC 27609 |
| Street Address |
1621 E. CHAPMAN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| 1639405525 | Charles Yun | Acupuncturist | 2008 N. Deerpark Drive, Apt. # 314, Fullerton, CA 92831 | 2009-10-27 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839315 | Prime Senior Care Homes L.l.c | Assisted Living Facility | 1857 Sheddon St, Fullerton, CA 92833-5659 | 2020-10-20 |
| 1063026060 | Harmony Care Corporation | Assisted Living Facility | 2751 E Chapman Ave Ste 208, Fullerton, CA 92831-3713 | 2020-09-07 |
| 1043820434 | Jc Cottages LLC | Assisted Living Facility | 1013 Hollydale Dr, Fullerton, CA 92831-2820 | 2020-07-31 |
| 1457702375 | Agape Cottage, Inc. | Assisted Living Facility | 864 N Ford Ave, Fullerton, CA 92832-1261 | 2016-06-22 |
| 1174979561 | Index Investments Inc Dba Fullerton Res Manor | Assisted Living Facility | 2441 W Orangethorpe Ave, Fullerton, CA 92833-4201 | 2016-05-04 |
| 1841665262 | Vass Senior Care | Assisted Living Facility | 2528 W Oak Ave, Fullerton, CA 92833-3115 | 2015-12-10 |
| 1669843629 | Cambridge Court | Assisted Living Facility | 1621 E Commonwealth Ave, Fullerton, CA 92831-4027 | 2015-10-15 |
| 1356625370 | Valley View Assisted Living LLC | Assisted Living Facility | 915 7th St, Fullerton, NE 68638-3093 | 2011-10-10 |
| 1972594463 | Core Care V A Ca Limited | Assisted Living Facility | 2525 Brea Blvd, Fullerton, CA 92835-2787 | 2005-11-02 |
| 1518575562 | Serenity Care Health We | Assisted Living Facility | 317 N Richman Ave, Fullerton, CA 92832-1101 | 2020-07-15 |
| Find all providers in FULLERTON | ||||
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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.