PREMIERCARE 1 CONGREGATE LIVING, INC.
NPI 1538609987
Assisted Living Facility - Assisted Living, Mental Illness in Lynwood, CA

Q: What is Premiercare 1 Congregate Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 05, 2017

3141 EUCLID AVE, LYNWOOD, CA 90262(186) 423-6688 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 22, 2021, Mar 5, 2017 (2 updates tracked since 2017).

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About Premiercare 1 Congregate Living, Inc. NPPES

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

PREMIERCARE 1 CONGREGATE LIVING, INC. (NPI 1538609987) is a healthcare organization registered as an assisted living, mental illness in Lynwood, California and active in the NPI registry since March 2017. The organization lists Marilyn Van Nguyen, Ceo/president, as its authorized official.

NPPES Registry Identity

NPI1538609987

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NamePREMIERCARE 1 CONGREGATE LIVING, INC.

Location Address3141 EUCLID AVELynwood, CA 90262-4971

Mailing Address5924 E Los Angeles Ave Ste MSimi Valley, CA 93063-5526 · (818) 642-3668 · Fax (805) 582-0915

Phone(186) 423-6688

Organization SubpartNo

Authorized OfficialMarilyn Van NguyenCeo/president · (818) 642-3668

Enumeration DateMarch 5, 2017

Last NPPES UpdateFebruary 22, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2021

✔ NPI 1538609987 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

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.

3141 EUCLID AVE, Lynwood, CA 90262

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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 Premiercare 1 Congregate Living, Inc.'s NPI number?

The NPI number for Premiercare 1 Congregate Living, Inc. is 1538609987. It was assigned to this organization in the NPPES registry on March 5, 2017.

Where is Premiercare 1 Congregate Living, Inc. located?

Premiercare 1 Congregate Living, Inc. is located at 3141 Euclid Ave, Lynwood, CA 90262. The listed phone number is (186) 423-6688.

What is Premiercare 1 Congregate Living, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Premiercare 1 Congregate Living, Inc. was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.