1861102519 NPI number — OBEA SENIOR LIVING LLC

Table of content: (NPI 1861102519)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861102519 NPI number — OBEA SENIOR LIVING LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OBEA SENIOR LIVING LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861102519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
765 NORTH MAIN STREET
Provider Second Line Business Mailing Address:
#150
Provider Business Mailing Address City Name:
CORONA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92878
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-779-2288
Provider Business Mailing Address Fax Number:
949-393-0013

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
765 NORTH MAIN STREET
Provider Second Line Business Practice Location Address:
#150
Provider Business Practice Location Address City Name:
CORONA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92878
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-779-2288
Provider Business Practice Location Address Fax Number:
949-393-0013
Provider Enumeration Date:
12/02/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ASARE
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
KOFI
Authorized Official Title or Position:
DIRECTOR OF OPERATIONS
Authorized Official Telephone Number:
949-779-2288

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 304700327 . This is a "HOME CARE ORGANISATION NUM" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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