SANTA ANA CONGREGATE LIVING, LLC (NPI# 1922542653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922542653 |
| Entity Type | Organization |
| Organization Name | SANTA ANA CONGREGATE LIVING, LLC |
| Practice Address |
1809 Nancy Ln Santa Ana CA 92706-2112 |
| Practice Telephone | 8184564926 |
| Practice Fax Number | 3109191616 |
| Mailing Telephone | 8184564926 |
| Mailing Fax Number | 3109191616 |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2016-12-15 |
| Authorized Official Name | ALLON SHELLY (CEO) |
| Authorized Official Telephone | 8184564926 |
| Authorized Official Credential | MBR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
1809 NANCY LN |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063884641 | Premiercare I Congregate Living, Inc. | Nursing Facility/Intermediate Care Facility | 2032 Cypress Ave, Santa Ana, CA 92707-2848 | 2015-10-22 |
| 1598156069 | Vericia Stevenson | Nursing Facility/Intermediate Care Facility | 2101 E 1st St, Santa Ana, CA 92705-4007 | 2015-02-05 |
| 1962500025 | Health Care Agency/ Ets | Nursing Facility/Intermediate Care Facility | 1030 W Warner Ave, Santa Ana, CA 92707 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472707 | Hollywood Care Home, Inc. | Nursing Facility/Intermediate Care Facility | 13307 Stagg St, North Hollywood, CA 91605-1736 | 2020-06-22 |
| 1154944510 | Encourage Homes Inc. | Nursing Facility/Intermediate Care Facility | 9227 Cayuga Ave, Sun Valley, CA 91352-9135 | 2020-05-20 |
| 1831722255 | Laurel House Icf | Nursing Facility/Intermediate Care Facility | 226 N Laurel Ave, Upland, CA 91786-5936 | 2020-02-13 |
| 1588295224 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 19640 Bermuda St, Chatsworth, CA 91311-1908 | 2020-01-31 |
| 1467092015 | New Start Clhf's Independent Training Centers | Nursing Facility/Intermediate Care Facility | 10318 Laramie Ave, Chatsworth, CA 91311-2530 | 2020-01-12 |
| 1265070064 | Janet's Enterprise, Inc | Nursing Facility/Intermediate Care Facility | 904 W 9th St Ste B1, Upland, CA 91786-4576 | 2019-12-12 |
| 1427692128 | Cg Estepa Care Home 2, Inc. | Nursing Facility/Intermediate Care Facility | 12800 Thornberg Way, Rancho Cordova, CA 95742-7812 | 2019-11-05 |
| 1669022547 | Continuum Living, LLC | Nursing Facility/Intermediate Care Facility | 24343 Pawnee Trl, Moreno Valley, CA 92557-5033 | 2019-09-12 |
| 1194296566 | Magnifique Congregate Living Inc | Nursing Facility/Intermediate Care Facility | 1827 W Avenue K12, Lancaster, CA 93534-6235 | 2018-12-11 |
| 1063994408 | Sinai Congregate Living Facility | Nursing Facility/Intermediate Care Facility | 1759 Windermere Drive, Lancaster, CA 93534-5319 | 2018-09-01 |
| 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.