SHASTA RESIDENTIAL CARE LLC
NPI 1932801735
Assisted Living Facility in Fountain Valley, CA

Active since March 17, 2023
16274 SHASTA ST, FOUNTAIN VALLEY, CA 92708(714) 300-4540 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2023, Mar 17, 2023 (2 updates tracked since 2023).

About Shasta Residential Care Llc NPPES

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

SHASTA RESIDENTIAL CARE LLC (NPI 1932801735) is a healthcare organization registered as an assisted living facility in Fountain Valley, California and active in the NPI registry since March 2023. The organization lists Kevin Dino Hieu Dinh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932801735
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSHASTA RESIDENTIAL CARE LLC
Location Address16274 SHASTA STFountain Valley, CA 92708-1865
Mailing Address16274 Shasta StFountain Valley, CA 92708-1865 · (714) 300-4540
Organization SubpartNo
Authorized OfficialKevin Dino Hieu DinhCeo · (714) 300-4540
Enumeration DateMarch 17, 2023
Last NPPES UpdateMarch 20, 20232 updates tracked since enumeration
NPPES CertifiedMarch 20, 2023
NPI 1932801735 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.
16274 SHASTA ST, Fountain Valley, CA 92708

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 Shasta Residential Care LLC's NPI number?

The NPI number for Shasta Residential Care LLC is 1932801735. It was assigned to this organization in the NPPES registry on March 17, 2023.

Where is Shasta Residential Care LLC located?

Shasta Residential Care LLC is located at 16274 Shasta St, Fountain Valley, CA 92708. The listed phone number is (714) 300-4540.

What is Shasta Residential Care 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 Shasta Residential Care LLC was last updated on March 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.