# 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
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437296217
- **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:** 2960 BERNARDO AVE, ESCONDIDO, CA 92029-6610
- **Practice address phone:** (760) 739-8255
- **Practice address fax:** (760) 739-8214
- **Mailing address:** 18A JOURNEY, SUITE 200, ALISO VIEJO, CA 92656-5342
- **Mailing address phone:** (949) 263-6632
- **Mailing address fax:** (949) 266-8679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 080000357 | CA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080000357 | STATE DHS LICENSE \# | CA |
| 05 | — | HCB00005F | — | CA |