MEDICARE: BARR SENIOR COURTYARD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1598459323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARR SENIOR COURTYARD LLC

Provider Business Mailing Address
First Line	:	9049 LEMONGRASS CT
Second Line	:
City	:	FOUNTAIN VALLEY
State	:	CA
Zip	:	92708-5604
Country	:	US
Telephone Number	:	714-785-9555
Fax Number	:

Provider Business Practice Location Address
First Line	:	8552 BARR LN
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92841-3212
Country	:	US
Telephone Number	:	714-785-9555
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BAN NGUYEN
Credential	:
Telephone Number	:	714-785-9555

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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