FILLMORE COUNTRY CLUB
NPI 1336588557
Assisted Living Facility in Fillmore, CA

Active since June 20, 2013
827 RIVER ST, FILLMORE, CA 93015(805) 524-7979 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fillmore Country Club NPPES

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

FILLMORE COUNTRY CLUB (NPI 1336588557) is a healthcare organization registered as an assisted living facility in Fillmore, California and active in the NPI registry since June 2013. The organization lists Jenq H Chen, Chairman/president, as its authorized official.

NPPES Registry Identity

NPI1336588557
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFILLMORE COUNTRY CLUB
Location Address827 RIVER STFillmore, CA 93015-1818
Mailing Address1937 Pontius AveLos Angeles, CA 90025-5611
Organization SubpartNo
Authorized OfficialJenq H ChenChairman/president · (310) 889-9929
Enumeration DateJune 20, 2013
NPI 1336588557 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.

827 RIVER ST, Fillmore, CA 93015

Other Providers at the Same Location NPPES

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

Assisted Living Facility
827 RIVER ST
FILLMORE, CA 93015

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 Fillmore Country Club's NPI number?

The NPI number for Fillmore Country Club is 1336588557. It was assigned to this organization in the NPPES registry on June 20, 2013.

Where is Fillmore Country Club located?

Fillmore Country Club is located at 827 River St, Fillmore, CA 93015. The listed phone number is (805) 524-7979.

What is Fillmore Country Club'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 Fillmore Country Club was last updated on June 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.