PORTSMOUTH SENIOR HOME LLC
NPI 1629948641
Assisted Living Facility in Menifee, CA

Q: What is Portsmouth Senior Home LLC's NPI number?

The NPI number for Portsmouth Senior Home LLC is 1629948641. It was assigned to this organization in the NPPES registry on November 5, 2025.

Q: What is Portsmouth Senior Home LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since November 05, 2025

28611 PORTSMOUTH DR, MENIFEE, CA 92586(951) 309-1158 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Portsmouth Senior Home Llc NPPES

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

PORTSMOUTH SENIOR HOME LLC (NPI 1629948641) is a healthcare organization registered as an assisted living facility in Menifee, California and active in the NPI registry since November 2025. The organization lists Jamie Fides Lao, Licensee, as its authorized official.

NPPES Registry Identity

NPI1629948641

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePORTSMOUTH SENIOR HOME LLC

Location Address28611 PORTSMOUTH DRMenifee, CA 92586-2658

Mailing Address1060 E Luray StLong Beach, CA 90807-1020 · (951) 309-1158

Phone(951) 309-1158

Organization SubpartNo

Authorized OfficialJamie Fides LaoLicensee · (951) 309-1158

Enumeration DateNovember 5, 2025

NPPES CertifiedNovember 5, 2025

✔ NPI 1629948641 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.

28611 PORTSMOUTH DR, Menifee, CA 92586

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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 Portsmouth Senior Home LLC's NPI number?

The NPI number for Portsmouth Senior Home LLC is 1629948641. It was assigned to this organization in the NPPES registry on November 5, 2025.

Where is Portsmouth Senior Home LLC located?

Portsmouth Senior Home LLC is located at 28611 Portsmouth Dr, Menifee, CA 92586. The listed phone number is (951) 309-1158.

What is Portsmouth Senior Home 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 Portsmouth Senior Home LLC was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.