# CAREMERIDIAN, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NATIONAL MENTOR HEALTHCARE, LLC
- **Other names:** National Mentor Healthcare, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265601991
- **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:** 20621 MAYALL ST, CHATSWORTH, CA 91311-3110
- **Practice address phone:** (818) 886-7928
- **Mailing address:** 18-A JOURNEY, SUITE 200, ALISA VIEJO, CA 92656-5342
- **Mailing address phone:** (949) 263-6632
- **Mailing address fax:** (949) 261-0457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550000665 | CA | Yes |

## Other

- **Enumeration date:** 02/27/2008
- **Last updated:** 10/21/2010