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MONDELL PINE MANOR II
NPI 1811772643
Assisted Living Facility in Palmdale, CA

Active since August 29, 2023
39040 MONDELL PINE AVE, PALMDALE, CA 93551(818) 332-6150(805) 578-4986 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2024, Aug 29, 2023 (2 updates tracked since 2023).

About Mondell Pine Manor Ii NPPES

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

MONDELL PINE MANOR II (NPI 1811772643) is a healthcare organization registered as an assisted living facility in Palmdale, California and active in the NPI registry since August 2023. The organization lists Jerome Dela Cruz Viray, Administrator, as its authorized official.

NPPES Registry Identity

NPI1811772643
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMONDELL PINE MANOR II
Location Address39040 MONDELL PINE AVEPalmdale, CA 93551-6042
Mailing Address1716 Erringer Rd Ste 104Simi Valley, CA 93065-6506 · (818) 332-6150 · Fax (805) 578-4986
Phone(818) 332-6150
Fax(805) 578-4986
Organization SubpartNo
Authorized OfficialJerome Dela Cruz VirayAdministrator · (818) 332-6150
Enumeration DateAugust 29, 2023
Last NPPES UpdateJuly 31, 20242 updates tracked since enumeration
NPPES CertifiedJuly 31, 2024
✔ NPI 1811772643 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.
39040 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 II's NPI number?

The NPI number for Mondell Pine Manor II is 1811772643. It was assigned to this organization in the NPPES registry on August 29, 2023.

Where is Mondell Pine Manor II located?

Mondell Pine Manor II is located at 39040 Mondell Pine Ave, Palmdale, CA 93551. The listed phone number is (818) 332-6150.

What is Mondell Pine Manor II'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 II was last updated on July 31, 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.