# NEWPORT CONGREGATE LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851010755
- **Authorized official:** MIRELA ANDRONESI (ADMINISTRATOR)
- **Authorized official phone:** (714) 679-0457

## Contact information

- **Practice address:** 466 E 16TH ST, COSTA MESA, CA 92627-3266
- **Practice address phone:** (714) 679-0457
- **Mailing address:** 18791 MURIEL PL, SANTA ANA, CA 92705-2844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/24/2022
- **Last updated:** 08/24/2022