MEDICARE: KINCAID SENIOR LIVING INC.

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	306005316	CA

General Provider Information

NPI Number	:	1952813016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINCAID SENIOR LIVING INC.

Provider Business Mailing Address
First Line	:	PO BOX 74452
Second Line	:
City	:	SAN CLEMENTE
State	:	CA
Zip	:	92673-0149
Country	:	US
Telephone Number	:	714-822-8878
Fax Number	:	714-827-9637

Provider Business Practice Location Address
First Line	:	641 S BEACH BLVD
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3102
Country	:	US
Telephone Number	:	714-827-7007
Fax Number	:	714-827-9637

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KIM N KINCAID
Credential	:
Telephone Number	:	714-914-7226

Provider Enumeration Date	:	10/30/2017
Last Update Date	:	10/30/2017

Similar Medicare Providers

1417274952 — BAHAR MEDICAL GROUP INC
Practice Location Address:

601 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 949-600-7733
Practice Fax: 949-600-8822

1346411477 — DR. ALIREZA KHAZAEIZADEH MD
Practice Location Address:

601 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 949-600-7733
Practice Fax: 949-600-8822

1235235300 — WEST ANAHEIM EXTENDED CARE
Practice Location Address:

645 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 714-821-1993
Practice Fax: 714-821-8450

1710179049 — ORANGE COUNTY BEHAVIORAL SCIENCES INC.
Practice Location Address:

645 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 714-816-7050
Practice Fax:

1376177402 — ARIA URGENT CARE ASSOCIATES, INC
Practice Location Address:

601 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 949-280-8512
Practice Fax:

1275269441 — OCEANSIDE HARBOR HOLDINGS LLC
Practice Location Address:

645 S BEACH BLVD
ANAHEIM, CA
92804-3102

Practice Phone: 714-821-1993
Practice Fax:

Directions to “KINCAID SENIOR LIVING INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.