Maxicare Senior Home, LLC
NPI 1124667738ActiveOrganization· Assisted Living Facility· Lancaster, CA
Assisted Living Facility in Lancaster, California, registered in NPPES in December 2019. The authorized official on file is Teodulo Bonzon, Manager.
Overview
| NPI | 1124667738 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2019 |
| Last updated in NPPES | Dec 30, 2019 |
| Certified by provider | Dec 30, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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