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THE PROVIDENCE MANOR, LLC
NPI 1598584500
Assisted Living Facility in Palmdale, CA

Active since October 07, 2024
3434 TAMARISK DR, PALMDALE, CA 93551(323) 680-0844 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About The Providence Manor, Llc NPPES

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

THE PROVIDENCE MANOR, LLC (NPI 1598584500) is a healthcare organization registered as an assisted living facility in Palmdale, California and active in the NPI registry since October 2024. The organization lists Mary Ann Nalangan De Lima, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1598584500
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHE PROVIDENCE MANOR, LLC
Location Address3434 TAMARISK DRPalmdale, CA 93551-2561
Mailing Address3434 Tamarisk DrPalmdale, CA 93551-2561
Phone(323) 680-0844
Organization SubpartNo
Authorized OfficialMary Ann Nalangan De LimaManaging Member · (323) 680-0844
Enumeration DateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
✔ NPI 1598584500 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.
3434 TAMARISK DR, Palmdale, CA 93551
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Other Providers at the Same Location NPPES

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

MS. MARY ANN NALANGAN DE LIMA
Assisted Living Facility
3434 TAMARISK DR
PALMDALE, CA 93551
Los Angeles County (323) 680-0844

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 The Providence Manor, LLC's NPI number?

The NPI number for The Providence Manor, LLC is 1598584500. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is The Providence Manor, LLC located?

The Providence Manor, LLC is located at 3434 Tamarisk Dr, Palmdale, CA 93551. The listed phone number is (323) 680-0844.

What is The Providence Manor, LLC'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 The Providence Manor, LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.