OLIVIA ISABEL MANOR
NPI 1184010654
Assisted Living Facility - Assisted Living, Mental Illness in Carson, CA

Active since April 12, 2015
21515 FIGUEROA ST, CARSON, CA 90745(310) 328-5116(310) 328-9170 Get Directions Write a Review

NPPES record last updated: July 8, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Olivia Isabel Manor NPPES

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

OLIVIA ISABEL MANOR (NPI 1184010654) is a healthcare organization registered as an assisted living, mental illness in Carson, California and active in the NPI registry since April 2015. The organization lists Rosalynn Phuong Le, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184010654
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameFIRE DRAGON INVESTMENT, LLC.
Location Address21515 FIGUEROA STCarson, CA 90745-1947
Mailing Address21515 Figueroa StCarson, CA 90745-1947 · (310) 328-5116 · Fax (310) 328-9170
Fax(310) 328-9170
Organization SubpartNo
Authorized OfficialRosalynn Phuong LeCeo · (714) 651-1131
Enumeration DateApril 12, 2015
Last NPPES UpdateJuly 8, 2015
NPI 1184010654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in CA · 198601766
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

21515 FIGUEROA ST, Carson, CA 90745

Other Names 1

Other NameOlivia Isabel Manor

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184010654, enumerated as an "organization" on April 12, 2015.

The provider is located at 21515 FIGUEROA ST CARSON, CA 90745 and the phone number is (310) 328-5116.

Assisted Living Facility with taxonomy code 3104A0625X and a focus in Assisted Living, Mental Illness.