Provider Demographics
NPI:1811767353
Name:LLC RETIREMENT HOMES LLC
Entity type:Organization
Organization Name:LLC RETIREMENT HOMES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/ LICENSEE
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-357-9525
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:CA
Mailing Address - Zip Code:95301-0055
Mailing Address - Country:US
Mailing Address - Phone:209-357-9525
Mailing Address - Fax:209-357-0525
Practice Address - Street 1:693 NORTHWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348
Practice Address - Country:US
Practice Address - Phone:209-357-9525
Practice Address - Fax:209-357-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility