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MONDELL PINE MANOR I
NPI 1508603986
Assisted Living Facility in Palmdale, CA

Active since July 11, 2024
39046 MONDELL PINE AVE, PALMDALE, CA 93551(818) 332-6150(805) 578-9486 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mondell Pine Manor I NPPES

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

MONDELL PINE MANOR I (NPI 1508603986) is a healthcare organization registered as an assisted living facility in Palmdale, California and active in the NPI registry since July 2024. The organization lists Jerome Viray, Licensee, as its authorized official.

NPPES Registry Identity

NPI1508603986
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMONDELL PINE MANOR I
Location Address39046 MONDELL PINE AVEPalmdale, CA 93551-6042
Mailing Address1716 Erringer Rd Ste 104Simi Valley, CA 93065-6506 · (818) 332-6150 · Fax (805) 578-9486
Phone(818) 332-6150
Fax(805) 578-9486
Organization SubpartNo
Authorized OfficialJerome VirayLicensee · (818) 332-6150
Enumeration DateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1508603986 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.
39046 MONDELL PINE AVE, Palmdale, CA 93551
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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 Mondell Pine Manor I's NPI number?

The NPI number for Mondell Pine Manor I is 1508603986. It was assigned to this organization in the NPPES registry on July 11, 2024.

Where is Mondell Pine Manor I located?

Mondell Pine Manor I is located at 39046 Mondell Pine Ave, Palmdale, CA 93551. The listed phone number is (818) 332-6150.

What is Mondell Pine Manor I'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 Mondell Pine Manor I was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.