Provider Demographics
NPI:1124556592
Name:NORTH COUNTY SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:NORTH COUNTY SENIOR SERVICES, LLC
Other - Org Name:ACACIA ADULT DAY SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUVI
Authorized Official - Middle Name:
Authorized Official - Last Name:DE NEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-757-3773
Mailing Address - Street 1:2515 MCCABE WAY STE 200
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-9402
Mailing Address - Country:US
Mailing Address - Phone:949-757-3773
Mailing Address - Fax:949-333-6339
Practice Address - Street 1:11391 ACACIA PKWY
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92840-5310
Practice Address - Country:US
Practice Address - Phone:714-530-1566
Practice Address - Fax:714-530-1592
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH COUNTY SENIOR SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-31
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care