MAXICARE SENIOR HOME, LLC
NPI 1124667738
Assisted Living Facility in Lancaster, CA

Q: What is Maxicare Senior Home, LLC's NPI number?

The NPI number for Maxicare Senior Home, LLC is 1124667738. It was assigned to this organization in the NPPES registry on December 30, 2019.

Q: What is Maxicare Senior Home, LLC's specialty?

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

Active since December 30, 2019

44523 15TH ST W, LANCASTER, CA 93534(818) 846-4469 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maxicare Senior Home, Llc NPPES

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

MAXICARE SENIOR HOME, LLC (NPI 1124667738) is a healthcare organization registered as an assisted living facility in Lancaster, California and active in the NPI registry since December 2019. The organization lists Teodulo Bonzon, Manager, as its authorized official.

NPPES Registry Identity

NPI1124667738

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameMAXICARE SENIOR HOME, LLC

Location Address44523 15TH ST WLancaster, CA 93534-2847

Mailing Address3013 Annita DrGlendale, CA 91206-1302 · (818) 846-4469 · Fax (818) 457-5577

Phone(818) 846-4469

Organization SubpartNo

Authorized OfficialTeodulo BonzonManager · (818) 846-4469

Enumeration DateDecember 30, 2019

✔ NPI 1124667738 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.

44523 15TH ST W, Lancaster, CA 93534

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GERI-CARE VI, LLC

Assisted Living Facility

44523 15TH ST W
LANCASTER, CA 93534

Los Angeles County (661) 949-5584

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 Maxicare Senior Home, LLC's NPI number?

The NPI number for Maxicare Senior Home, LLC is 1124667738. It was assigned to this organization in the NPPES registry on December 30, 2019.

Where is Maxicare Senior Home, LLC located?

Maxicare Senior Home, LLC is located at 44523 15th St W, Lancaster, CA 93534. The listed phone number is (818) 846-4469.

What is Maxicare Senior Home, LLC'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 Maxicare Senior Home, LLC was last updated on December 30, 2019. 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.