# CAREMERIDIAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATIONAL MENTOR HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043357866
- **Legal business name:** NATIONAL MENTOR HEALTHCARE, LLC
- **Authorized official:** MRS. CRYSTAL DAWN IMMERMAN (MANAGER OF ADMINISTRATION)
- **Authorized official phone:** (949) 263-6632

## Contact information

- **Practice address:** 1540 TEAL CLUB RD, OXNARD, CA 93030-8639
- **Practice address phone:** (805) 382-1921
- **Practice address fax:** (805) 382-9721
- **Mailing address:** 18A JOURNEY, SUITE 200, ALISO VIEJO, CA 92656-5342
- **Mailing address phone:** (949) 263-6632
- **Mailing address fax:** (949) 266-7679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050000384 | CA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 09/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050000384 | STATE DHS LICENSE\# | CA |
| 05 | — | HCB00008F | — | CA |