Healthcare Provider Details

I. General information

NPI: 1497612626
Provider Name (Legal Business Name): SAMS PRESTIGE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38433 ANSET DR
PALMDALE CA
93551-4595
US

IV. Provider business mailing address

14504 FORTUNA LN
PANORAMA CITY CA
91402-6985
US

V. Phone/Fax

Practice location:
  • Phone: 818-602-1134
  • Fax:
Mailing address:
  • Phone: 818-602-1134
  • Fax: 818-602-1134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID SALVADOR
Title or Position: ADMINISTRATOR
Credential:
Phone: 818-602-1134