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SIGNATURE RESIDENCE, INC
NPI 1063045391
Assisted Living Facility in Corona Del Mar, CA

Active since February 14, 2020
2727 WAVECREST DR, CORONA DEL MAR, CA 92625(949) 220-1412 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Signature Residence, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SIGNATURE RESIDENCE, INC (NPI 1063045391) is a healthcare organization registered as an assisted living facility in Corona Del Mar, California and active in the NPI registry since February 2020. The organization lists Kolaleh Faris, President, as its authorized official.

NPPES Registry Identity

NPI1063045391
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSIGNATURE RESIDENCE, INC
Location Address2727 WAVECREST DRCorona Del Mar, CA 92625-1326
Mailing Address2727 Wavecrest DrCorona Del Mar, CA 92625-1326 · (949) 220-1412
Phone(949) 220-1412
Organization SubpartNo
Authorized OfficialKolaleh FarisPresident · (949) 510-5968
Enumeration DateFebruary 14, 2020
✔ NPI 1063045391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
2727 WAVECREST DR, Corona Del Mar, CA 92625
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Other Names 1

Former Legal Business NameSignature Residence, Inc

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Signature Residence, Inc's NPI number?

The NPI number for Signature Residence, Inc is 1063045391. It was assigned to this organization in the NPPES registry on February 14, 2020.

Where is Signature Residence, Inc located?

Signature Residence, Inc is located at 2727 Wavecrest Dr, Corona Del Mar, CA 92625. The listed phone number is (949) 220-1412.

What is Signature Residence, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Signature Residence, Inc was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.