Provider Demographics
NPI:1710458286
Name:VINMAR SENIOR HOMES
Entity Type:Organization
Organization Name:VINMAR SENIOR HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-302-9891
Mailing Address - Street 1:16192 CAIRO CIR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-3001
Mailing Address - Country:US
Mailing Address - Phone:714-792-0967
Mailing Address - Fax:
Practice Address - Street 1:16192 CAIRO CIR
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3001
Practice Address - Country:US
Practice Address - Phone:714-792-0967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility