Provider Demographics
NPI:1841665262
Name:VASS SENIOR CARE
Entity type:Organization
Organization Name:VASS SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AGOSTON
Authorized Official - Middle Name:
Authorized Official - Last Name:VASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-624-5277
Mailing Address - Street 1:2528 W OAK AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-3115
Mailing Address - Country:US
Mailing Address - Phone:714-525-2368
Mailing Address - Fax:714-525-2368
Practice Address - Street 1:2528 W OAK AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-3115
Practice Address - Country:US
Practice Address - Phone:714-525-2368
Practice Address - Fax:714-525-2368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility