CROWN MANOR PASEO GRANDE
NPI 1164130191
Assisted Living Facility in Fullerton, CA

Q: What is Crown Manor Paseo Grande's NPI number?

The NPI number for Crown Manor Paseo Grande is 1164130191. It was assigned to this organization in the NPPES registry on November 8, 2022.

Q: What is Crown Manor Paseo Grande's specialty?

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

Active since November 08, 2022

819 DELPHINE PL, FULLERTON, CA 92833(714) 743-7516 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crown Manor Paseo Grande NPPES

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

CROWN MANOR PASEO GRANDE (NPI 1164130191) is a healthcare organization registered as an assisted living facility in Fullerton, California and active in the NPI registry since November 2022. The organization lists Kevin Bim, Licensee, as its authorized official.

NPPES Registry Identity

NPI1164130191

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCROWN MANOR PASEO GRANDE

Location Address819 DELPHINE PLFullerton, CA 92833-2327

Mailing Address819 Delphine PlFullerton, CA 92833-2327 · (714) 743-7516

Phone(714) 743-7516

Organization SubpartNo

Authorized OfficialKevin BimLicensee · (714) 743-7516

Enumeration DateNovember 8, 2022

NPPES CertifiedNovember 8, 2022

✔ NPI 1164130191 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.

819 DELPHINE PL, Fullerton, CA 92833

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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 Crown Manor Paseo Grande's NPI number?

The NPI number for Crown Manor Paseo Grande is 1164130191. It was assigned to this organization in the NPPES registry on November 8, 2022.

Where is Crown Manor Paseo Grande located?

Crown Manor Paseo Grande is located at 819 Delphine Pl, Fullerton, CA 92833. The listed phone number is (714) 743-7516.

What is Crown Manor Paseo Grande'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 Crown Manor Paseo Grande was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.